| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $701.84 | $3,109.00 | $9,477.00 | |
Aetna
| Professional | $701.84 | $701.84 | $1,326.71 | |
Cigna
| Facility | $3,125.00 | $7,875.00 | $9,992.00 | |
United
| Facility | $375.00 | $1,056.00 | $2,558.00 | |
United
| Professional | $1,102.06 | $1,576.74 | $2,520.50 |