| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $185.22 | $195.80 | $195.80 | |
Cigna
| Professional | $178.97 | $225.49 | $383.22 | |
United
| Facility | $143.00 | $143.00 | $143.00 | |
United
| Professional | $174.64 | $229.11 | $472.18 |