| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $305.66 | $305.66 | $393.75 | |
Cigna
| Professional | $307.26 | $455.06 | $646.90 | |
United
| Professional | $333.47 | $494.49 | $1,064.86 |