| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $45.80 | $56.16 | $64.86 | |
Cigna
| Professional | $46.33 | $65.63 | $109.03 | |
United
| Professional | $52.72 | $73.48 | $144.97 |