| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,073.80 | $4,073.80 | $7,244.36 | |
Aetna
| Professional | $257.04 | $489.78 | $1,380.38 | |
Cigna
| Professional | $245.47 | $416.87 | $537.03 | |
United
| Facility | $501.19 | $501.19 | $501.19 | |
United
| Professional | $234.42 | $380.19 | $691.83 |