| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,667.00 | $3,594.10 | $3,594.10 | |
Aetna
| Professional | $574.58 | $648.64 | $648.64 | |
Cigna
| Professional | $498.43 | $713.48 | $1,251.27 | |
United
| Facility | $2,783.00 | $2,783.00 | $2,783.00 | |
United
| Professional | $554.23 | $780.02 | $1,498.50 |