| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $364.92 | $364.92 | $545.29 | |
Cigna
| Professional | $344.67 | $583.51 | $714.20 | |
United
| Facility | $500.00 | $500.00 | $500.00 | |
United
| Professional | $468.77 | $604.91 | $1,722.10 |