| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $64.70 | $79.34 | $91.82 | |
Cigna
| Professional | $72.95 | $100.29 | $134.08 | |
United
| Professional | $74.06 | $105.11 | $200.27 |