| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $70.72 | $76.92 | $76.92 | |
Cigna
| Professional | $72.44 | $118.06 | $141.72 | |
United
| Professional | $84.65 | $122.03 | $192.72 |