| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $200.86 | $200.86 | $218.26 | |
Cigna
| Professional | $178.14 | $254.41 | $289.14 | |
United
| Professional | $189.89 | $234.13 | $476.24 |