| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $83.10 | $110.52 | $161.87 | |
Cigna
| Professional | $83.34 | $171.33 | $198.23 | |
United
| Professional | $133.13 | $167.22 | $425.24 |