| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $230.06 | $230.06 | $239.84 | |
Cigna
| Professional | $218.93 | $314.45 | $741.56 | |
United
| Professional | $239.39 | $309.80 | $555.78 |