| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $176.55 | $176.55 | $190.45 | |
Cigna
| Professional | $155.86 | $204.27 | $236.75 | |
United
| Professional | $165.13 | $192.89 | $423.08 |