| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $15,648.00 | |
Aetna
| Professional | $254.66 | $254.66 | $336.37 | |
Cigna
| Professional | $274.30 | $360.03 | $413.57 | |
United
| Professional | $284.29 | $332.84 | $736.48 |