| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $15,648.00 | |
Aetna
| Professional | $316.79 | $316.79 | $344.37 | |
Cigna
| Professional | $281.52 | $357.53 | $406.72 | |
United
| Professional | $280.48 | $327.99 | $718.61 |