| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $83.01 | $117.77 | $793.54 | |
Cigna
| Professional | $82.93 | $183.93 | $592.96 | |
United
| Professional | $140.66 | $247.86 | $1,151.55 |