| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,073.80 | $4,073.80 | $7,244.36 | |
Aetna
| Professional | $144.54 | $776.25 | $2,238.72 | |
Aetna
| Professional | 50 | $223.87 | $223.87 | $223.87 |
Cigna
| Professional | $165.96 | $275.42 | $1,737.80 | |
United
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Professional | $144.54 | $794.33 | $1,513.56 |