| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $77.20 | $101.86 | $117.56 | |
Cigna
| Professional | $85.48 | $116.38 | $172.25 | |
United
| Professional | $109.82 | $140.44 | $251.36 |