| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $214.17 | $214.17 | $217.53 | |
Cigna
| Professional | $187.83 | $263.89 | $370.94 | |
United
| Professional | $186.43 | $537.91 | $1,170.53 |