| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,235.94 | $3,235.94 | $7,244.36 | |
Aetna
| Professional | $104.71 | $114.82 | $194.98 | |
Cigna
| Professional | $81.28 | $125.89 | $194.98 | |
United
| Facility | $144.54 | $144.54 | $501.19 | |
United
| Professional | $89.13 | $114.82 | $177.83 |