| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $905.47 | $905.47 | $980.73 | |
Cigna
| Professional | $740.18 | $1,106.50 | $2,539.85 | |
United
| Facility | $150.00 | $150.00 | $150.00 | |
United
| Professional | $836.99 | $1,309.25 | $2,144.44 |