| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $40.06 | $43.29 | $76.73 | |
Cigna
| Professional | $40.29 | $69.12 | $110.88 | |
United
| Professional | $69.01 | $93.79 | $157.77 |