| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,316.00 | $6,316.00 | $6,907.00 | |
Aetna
| Professional | $107.34 | $123.93 | $123.93 | |
Cigna
| Professional | $123.74 | $171.42 | $199.81 | |
United
| Professional | $121.52 | $180.07 | $304.44 |