| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,897.79 | $7,244.36 | $16,218.10 | |
Aetna
| Professional | $38.02 | $39.81 | $2,691.53 | |
Cigna
| Professional | $23.99 | $23.99 | $23.99 | |
United
| Facility | $151.36 | $151.36 | $151.36 |