| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $200.62 | $200.62 | $232.80 | |
Cigna
| Professional | $197.26 | $239.73 | $423.66 | |
United
| Facility | $143.00 | $143.00 | $143.00 | |
United
| Professional | $196.74 | $229.79 | $433.42 |