| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,816.00 | $5,816.00 | $6,907.00 | |
Aetna
| Professional | $789.87 | $995.17 | $995.17 | |
Cigna
| Facility | $4,882.14 | $4,882.14 | $4,882.14 | |
United
| Facility | $2,783.00 | $2,783.00 | $2,783.00 | |
United
| Professional | $1,084.28 | $1,500.58 | $2,881.16 |