| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $263.39 | $394.34 | $454.88 | |
Cigna
| Facility | $640.00 | $640.00 | $640.00 | |
United
| Facility | $500.00 | $500.00 | $500.00 | |
United
| Professional | $347.16 | $370.58 | $954.69 |