| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $92.80 | $116.02 | $233.60 | |
Cigna
| Professional | $95.15 | $190.74 | $361.36 | |
United
| Professional | $181.38 | $221.59 | $495.51 |