| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $730.12 | $891.02 | $1,034.18 | |
Cigna
| Facility | $948.10 | $948.10 | $4,198.00 | |
United
| Facility | $414.00 | $1,320.00 | $1,320.00 | |
United
| Professional | $805.70 | $994.72 | $2,078.23 |