| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $663.66 | $748.72 | $748.72 | |
Cigna
| Professional | $654.62 | $798.94 | $1,336.89 | |
United
| Facility | $143.00 | $143.00 | $143.00 | |
United
| Professional | $606.23 | $838.71 | $1,629.32 |