| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $98.89 | $130.01 | $145.44 | |
Cigna
| Professional | $98.78 | $143.26 | $213.49 | |
United
| Professional | $117.06 | $160.96 | $321.93 |