| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,235.94 | $3,235.94 | $7,244.36 | |
Aetna
| Professional | $104.71 | $154.88 | $295.12 | |
Cigna
| Professional | $104.71 | $120.23 | $173.78 | |
United
| Facility | $501.19 | $501.19 | $501.19 | |
United
| Professional | $93.33 | $131.83 | $257.04 |