| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $690.00 | $1,181.00 | $3,109.00 | |
Aetna
| Professional | $241.11 | $988.59 | $988.59 | |
Cigna
| Facility | $3,206.07 | $3,206.07 | $3,206.07 | |
United
| Facility | $130.00 | $328.00 | $858.00 | |
United
| Professional | $354.69 | $539.12 | $801.73 |