| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,897.79 | $4,897.79 | $7,244.36 | |
Aetna
| Professional | $158.49 | $199.53 | $263.03 | |
Cigna
| Facility | $645.65 | $645.65 | $645.65 | |
United
| Facility | $501.19 | $501.19 | $501.19 | |
United
| Professional | $199.53 | $229.09 | $323.59 |