| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $94.91 | $151.08 | $297.98 | |
Cigna
| Professional | $103.34 | $151.90 | $215.93 | |
United
| Facility | $500.00 | $500.00 | $500.00 | |
United
| Professional | $126.57 | $179.59 | $256.55 |