| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,403.47 | $3,403.47 | $6,907.00 | |
Aetna
| Professional | $81.63 | $97.96 | $121.56 | |
Cigna
| Professional | $87.38 | $126.98 | $171.82 | |
United
| Professional | $99.03 | $138.31 | $273.25 |