| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $237.61 | $246.21 | $1,632.38 | |
Cigna
| Facility | $2,151.00 | $2,151.00 | $2,151.00 | |
Cigna
| Professional | $202.99 | $279.81 | $429.01 | |
United
| Facility | $324.00 | $960.00 | $960.00 | |
United
| Professional | $182.57 | $347.01 | $856.31 |