| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $49.89 | $54.50 | $54.50 | |
Cigna
| Professional | $51.44 | $81.40 | $100.42 | |
United
| Professional | $65.55 | $84.82 | $128.88 |