| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $110.95 | $134.83 | $191.27 | |
Cigna
| Professional | $138.21 | $190.44 | $331.71 | |
United
| Professional | $182.04 | $277.06 | $447.22 |