| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $63.42 | $63.42 | $94.39 | |
Cigna
| Professional | $61.82 | $92.72 | $136.53 | |
United
| Professional | $85.20 | $112.49 | $247.48 |