| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $41.47 | $44.88 | $70.44 | |
Cigna
| Professional | $45.72 | $71.41 | $101.51 | |
United
| Professional | $62.63 | $84.70 | $182.23 |