| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $336.01 | $397.72 | $397.72 | |
Cigna
| Professional | $389.89 | $471.23 | $624.67 | |
United
| Professional | $349.19 | $436.28 | $944.13 |