| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $105.83 | $126.47 | $147.26 | |
Cigna
| Professional | $147.08 | $185.40 | $227.62 | |
United
| Professional | $138.94 | $196.70 | $356.96 |