| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $600.54 | $600.54 | $707.28 | |
Cigna
| Professional | $663.16 | $791.99 | $1,125.86 | |
United
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Professional | $607.72 | $845.15 | $1,838.32 |