| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.90 | $1,821.00 | $9,477.00 | |
Aetna
| Professional | $112.90 | $112.90 | $232.44 | |
Cigna
| Facility | $5,225.00 | $5,225.00 | $5,225.00 | |
United
| Professional | $163.95 | $235.75 | $389.26 |