| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $124.32 | $166.33 | $166.33 | |
Cigna
| Facility | $524.37 | $524.37 | $524.37 | |
United
| Facility | $440.00 | $440.00 | $440.00 | |
United
| Professional | $157.01 | $209.34 | $413.67 |