| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,316.00 | $6,316.00 | $6,907.00 | |
Aetna
| Professional | $115.62 | $206.53 | $263.51 | |
Cigna
| Professional | $155.94 | $231.53 | $701.79 | |
United
| Professional | $209.50 | $479.82 | $894.69 |