| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $224.95 | $260.20 | $260.20 | |
Cigna
| Professional | $257.62 | $362.97 | $410.04 | |
United
| Professional | $259.47 | $328.41 | $644.79 |