| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,235.94 | $3,235.94 | $7,244.36 | |
Aetna
| Professional | $602.56 | $741.31 | $1,548.82 | |
Cigna
| Professional | $549.54 | $758.58 | $1,096.48 | |
United
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Professional | $588.84 | $691.83 | $1,096.48 |