| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $553.86 | $3,140.00 | $8,138.93 | |
Aetna
| Professional | $204.34 | $234.03 | $4,223.03 | |
Cigna
| Professional | $237.21 | $419.81 | $7,019.99 | |
United
| Facility | $143.00 | $143.00 | $143.00 | |
United
| Professional | $3,333.98 | $5,251.77 | $8,409.48 |