| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $144.88 | $144.88 | $155.66 | |
Cigna
| Professional | $126.94 | $173.74 | $208.98 | |
United
| Professional | $135.43 | $247.26 | $339.35 |