| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,244.36 | $7,244.36 | $16,218.10 | |
Aetna
| Professional | $281.84 | $346.74 | $707.95 | |
Cigna
| Professional | $281.84 | $346.74 | $407.38 | |
United
| Facility | $151.36 | $151.36 | $151.36 | |
United
| Professional | $281.84 | $331.13 | $645.65 |