| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $159.18 | $159.18 | $184.67 | |
Cigna
| Professional | $157.12 | $195.11 | $339.61 | |
United
| Facility | $143.00 | $143.00 | $143.00 | |
United
| Professional | $154.04 | $208.40 | $416.49 |