| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,606.93 | $6,606.93 | $7,244.36 | |
Aetna
| Professional | $331.13 | $537.03 | $1,513.56 | |
Cigna
| Professional | $316.23 | $467.74 | $691.83 | |
United
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Professional | $302.00 | $457.09 | $870.96 |