| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $44.78 | $48.32 | $111.90 | |
Cigna
| Professional | $48.34 | $84.45 | $171.20 | |
United
| Professional | $98.03 | $126.86 | $257.12 |