| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $310.14 | $377.78 | $439.31 | |
Cigna
| Facility | $948.10 | $948.10 | $3,025.00 | |
United
| Facility | $414.00 | $1,320.00 | $1,320.00 | |
United
| Professional | $342.04 | $461.92 | $897.84 |