| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,816.00 | $5,816.00 | $6,907.00 | |
Aetna
| Professional | $211.77 | $254.25 | $284.18 | |
Cigna
| Facility | $640.00 | $640.00 | $640.00 | |
United
| Professional | $214.24 | $260.89 | $579.25 |