| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $102.22 | $133.57 | $161.55 | |
Cigna
| Professional | $110.74 | $158.91 | $226.98 | |
United
| Professional | $133.85 | $184.04 | $361.89 |