| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,235.94 | $3,235.94 | $7,244.36 | |
Aetna
| Professional | $204.17 | $707.95 | $3,981.07 | |
Cigna
| Professional | $204.17 | $269.15 | $3,388.44 | |
United
| Facility | $501.19 | $501.19 | $501.19 | |
United
| Professional | $204.17 | $2,041.74 | $3,890.45 |