| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $344.59 | $366.92 | $1,253.14 | |
Cigna
| Facility | $2,151.00 | $2,151.00 | $2,151.00 | |
Cigna
| Professional | $306.93 | $423.72 | $657.38 | |
United
| Facility | $324.00 | $960.00 | $960.00 | |
United
| Professional | $290.14 | $391.39 | $885.47 |