| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,244.36 | $7,244.36 | $7,244.36 | |
Aetna
| Professional | $263.03 | $323.59 | $660.69 | |
Cigna
| Professional | $263.03 | $338.84 | $426.58 | |
United
| Facility | $151.36 | $151.36 | $151.36 | |
United
| Professional | $281.84 | $346.74 | $630.96 |