| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,235.94 | $3,235.94 | $7,244.36 | |
Aetna
| Professional | $95.50 | $190.55 | $562.34 | |
Cigna
| Professional | $107.15 | $165.96 | $263.03 | |
United
| Facility | $501.19 | $501.19 | $501.19 | |
United
| Professional | $100.00 | $154.88 | $257.04 |