| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,244.36 | $7,244.36 | $7,244.36 | |
Aetna
| Professional | $128.82 | $154.88 | $316.23 | |
Cigna
| Professional | $125.89 | $165.96 | $208.93 | |
United
| Facility | $151.36 | $151.36 | $151.36 | |
United
| Professional | $134.90 | $245.47 | $323.59 |