| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $58.78 | $69.26 | $160.58 | |
Cigna
| Professional | $61.27 | $111.22 | $223.11 | |
United
| Professional | $125.41 | $161.63 | $317.83 |