| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $941.00 | $3,245.00 | $9,940.00 | |
Aetna
| Professional | $1,562.21 | $1,828.69 | $2,084.71 | |
Cigna
| Facility | $6,000.00 | $8,383.00 | $18,869.00 | |
United
| Facility | $385.00 | $1,309.00 | $7,168.00 | |
United
| Professional | $1,774.14 | $2,853.86 | $4,119.06 |