| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,244.36 | $7,244.36 | $7,244.36 | |
Aetna
| Professional | $691.83 | $1,778.28 | $2,187.76 | |
Cigna
| Facility | $3,890.45 | $3,890.45 | $3,890.45 | |
United
| Facility | $2,187.76 | $2,187.76 | $2,187.76 | |
United
| Professional | $524.81 | $794.33 | $3,630.78 |