| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,816.00 | $5,816.00 | $6,907.00 | |
Aetna
| Professional | $192.46 | $229.44 | $259.52 | |
Cigna
| Facility | $640.00 | $640.00 | $640.00 | |
United
| Professional | $202.62 | $242.20 | $547.84 |