| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $97.57 | $103.14 | $103.14 | |
Cigna
| Professional | $99.22 | $141.01 | $190.03 | |
United
| Professional | $97.76 | $126.51 | $244.61 |