| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,235.94 | $3,235.94 | $7,244.36 | |
Aetna
| Professional | $131.83 | $338.84 | $870.96 | |
Cigna
| Professional | $131.83 | $302.00 | $616.60 | |
United
| Facility | $501.19 | $501.19 | $501.19 | |
United
| Professional | $120.23 | $239.88 | $489.78 |