| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $313.66 | $3,140.00 | $10,942.95 | |
Aetna
| Professional | $103.20 | $122.05 | $182.15 | |
Cigna
| Professional | $108.21 | $165.72 | $235.62 | |
United
| Professional | $103.32 | $167.07 | $371.99 |