| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $84.42 | $110.69 | $130.37 | |
Cigna
| Facility | $59.00 | $59.00 | $59.00 | |
Cigna
| Professional | $86.96 | $98.30 | $161.03 | |
United
| Professional | $93.08 | $114.80 | $264.14 |