| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $253.59 | $430.96 | $443.85 | |
Cigna
| Professional | $248.71 | $357.11 | $794.06 | |
United
| Professional | $289.32 | $448.23 | $1,038.00 |