| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $562.87 | $562.87 | $627.21 | |
Cigna
| Professional | $567.94 | $667.10 | $948.32 | |
United
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Professional | $538.57 | $745.71 | $1,634.80 |