| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $117.25 | $147.96 | $147.96 | |
Cigna
| Facility | $524.37 | $524.37 | $524.37 | |
United
| Facility | $440.00 | $440.00 | $440.00 | |
United
| Professional | $145.77 | $169.29 | $370.93 |