| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $635.14 | $2,344.00 | $9,477.00 | |
Aetna
| Professional | $635.14 | $635.14 | $1,204.94 | |
Cigna
| Facility | $2,000.00 | $2,500.00 | $9,073.00 | |
United
| Facility | $2,896.00 | $5,455.00 | $12,152.00 | |
United
| Professional | $1,006.93 | $1,390.31 | $2,216.19 |