| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $230.88 | $293.70 | $293.70 | |
Cigna
| Facility | $2,508.56 | $2,508.56 | $2,508.56 | |
United
| Facility | $2,200.00 | $2,200.00 | $2,200.00 | |
United
| Professional | $319.88 | $442.57 | $836.04 |