| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $77.86 | $77.86 | $84.77 | |
Cigna
| Professional | $78.37 | $92.70 | $135.15 | |
United
| Facility | $500.00 | $500.00 | $500.00 | |
United
| Professional | $82.58 | $104.61 | $230.10 |