| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $608.92 | $687.56 | $687.56 | |
Cigna
| Professional | $600.37 | $732.65 | $1,227.69 | |
United
| Facility | $143.00 | $143.00 | $143.00 | |
United
| Professional | $586.97 | $667.30 | $1,497.44 |