| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $176.87 | $176.87 | $189.75 | |
Cigna
| Professional | $153.79 | $211.87 | $238.18 | |
United
| Professional | $162.16 | $201.01 | $415.48 |