| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,816.00 | $5,816.00 | $6,907.00 | |
Aetna
| Professional | $263.67 | $314.02 | $355.21 | |
Cigna
| Facility | $640.00 | $640.00 | $640.00 | |
United
| Professional | $277.30 | $331.45 | $749.74 |