| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,073.80 | $4,073.80 | $7,244.36 | |
Aetna
| Professional | $562.34 | $851.14 | $1,862.09 | |
Cigna
| Professional | $562.34 | $676.08 | $1,000.00 | |
United
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Professional | $512.86 | $724.44 | $1,479.11 |