| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $196.06 | $204.79 | $204.79 | |
Cigna
| Professional | $179.60 | $241.80 | $354.70 | |
United
| Professional | $151.36 | $252.07 | $573.92 |