| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $162.36 | $187.77 | $187.77 | |
Cigna
| Professional | $186.19 | $263.66 | $302.11 | |
United
| Professional | $186.40 | $257.31 | $463.96 |