| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $611.75 | $770.71 | $770.71 | |
Cigna
| Facility | $3,851.90 | $3,851.90 | $3,851.90 | |
United
| Facility | $2,783.00 | $2,783.00 | $2,783.00 | |
United
| Professional | $1,016.95 | $1,364.68 | $2,749.58 |