| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $174.58 | $182.20 | $182.20 | |
Cigna
| Professional | $169.72 | $202.29 | $355.80 | |
United
| Facility | $960.00 | $960.00 | $960.00 | |
United
| Professional | $161.68 | $218.91 | $437.14 |