| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $75.58 | $110.13 | $121.63 | |
Cigna
| Professional | $84.11 | $131.46 | $180.84 | |
United
| Professional | $117.94 | $157.74 | $268.54 |