| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,235.94 | $3,235.94 | $7,244.36 | |
Aetna
| Professional | $288.40 | $363.08 | $933.25 | |
Cigna
| Professional | $323.59 | $436.52 | $562.34 | |
United
| Facility | $501.19 | $501.19 | $501.19 | |
United
| Professional | $281.84 | $389.05 | $707.95 |