| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,083.00 | $3,109.00 | $9,477.00 | |
Aetna
| Professional | $754.02 | $754.02 | $1,430.23 | |
Cigna
| Facility | $2,000.00 | $2,500.00 | $9,073.00 | |
United
| Facility | $2,104.00 | $4,555.00 | $8,929.00 | |
United
| Professional | $1,195.32 | $1,632.64 | $2,452.44 |