| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $186.76 | $197.09 | $197.09 | |
Cigna
| Professional | $180.13 | $206.25 | $366.92 | |
United
| Facility | $960.00 | $960.00 | $960.00 | |
United
| Professional | $175.82 | $227.58 | $475.36 |