| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $86.71 | $104.52 | $123.41 | |
Cigna
| Professional | $93.34 | $140.97 | $279.51 | |
United
| Professional | $122.83 | $163.90 | $285.58 |