| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,244.36 | $7,244.36 | $7,244.36 | |
Aetna
| Professional | $13.49 | $218.78 | $346.74 | |
Cigna
| Professional | $186.21 | $263.03 | $371.54 | |
United
| Facility | $151.36 | $151.36 | $151.36 | |
United
| Professional | $123.03 | $501.19 | $933.25 |