| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $142.22 | $176.64 | $302.13 | |
Cigna
| Professional | $162.52 | $262.05 | $464.45 | |
United
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Professional | $252.48 | $352.06 | $682.64 |