| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $6,316.00 | $6,907.00 | |
Aetna
| Professional | $393.65 | $455.26 | $455.26 | |
Cigna
| Professional | $397.96 | $468.59 | $824.56 | |
United
| Facility | $2,530.00 | $2,530.00 | $2,530.00 | |
United
| Professional | $378.26 | $513.92 | $1,022.71 |