| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,244.36 | $7,244.36 | $7,244.36 | |
Aetna
| Professional | $398.11 | $478.63 | $954.99 | |
Cigna
| Professional | $389.05 | $512.86 | $602.56 | |
United
| Facility | $151.36 | $151.36 | $151.36 | |
United
| Professional | $407.38 | $512.86 | $954.99 |