| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $23.84 | $79.81 | $210.02 | |
Cigna
| Professional | $25.60 | $129.51 | $264.89 | |
United
| Facility | $440.00 | $440.00 | $440.00 | |
United
| Professional | $31.79 | $189.03 | $349.34 |