| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $663.33 | $748.04 | $748.04 | |
Cigna
| Professional | $654.04 | $798.58 | $1,335.68 | |
United
| Facility | $143.00 | $143.00 | $143.00 | |
United
| Professional | $602.32 | $838.32 | $1,628.52 |