| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $65.28 | $72.28 | $91.68 | |
Cigna
| Facility | $59.00 | $59.00 | $59.00 | |
Cigna
| Professional | $58.31 | $69.73 | $106.85 | |
United
| Professional | $60.51 | $72.45 | $163.61 |