| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $41.61 | $86.21 | $105.13 | |
Cigna
| Professional | $44.44 | $81.97 | $147.54 | |
United
| Professional | $94.16 | $125.65 | $221.43 |