| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $227.49 | $227.49 | $246.40 | |
Cigna
| Professional | $200.87 | $268.45 | $304.82 | |
United
| Professional | $209.42 | $244.98 | $536.54 |