| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $643.95 | $774.72 | $4,736.00 | |
Aetna
| Professional | $643.95 | $733.67 | $774.72 | |
Cigna
| Professional | $654.94 | $826.11 | $1,174.36 | |
United
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Professional | $670.06 | $998.55 | $2,550.28 |