| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,244.36 | $7,244.36 | $7,244.36 | |
Aetna
| Professional | $154.88 | $190.55 | $389.05 | |
Cigna
| Professional | $154.88 | $199.53 | $234.42 | |
United
| Facility | $151.36 | $151.36 | $151.36 | |
United
| Professional | $165.96 | $194.98 | $380.19 |