| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $171.75 | $216.39 | $216.39 | |
Cigna
| Facility | $2,759.64 | $2,759.64 | $2,759.64 | |
United
| Facility | $2,530.00 | $2,530.00 | $2,530.00 | |
United
| Professional | $242.32 | $329.83 | $616.63 |