| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $272.88 | $272.88 | $292.02 | |
Cigna
| Professional | $274.01 | $350.12 | $879.61 | |
United
| Professional | $255.74 | $435.50 | $871.00 |