| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,244.36 | $7,244.36 | $7,244.36 | |
Aetna
| Professional | $851.14 | $912.01 | $2,238.72 | |
Cigna
| Professional | $724.44 | $954.99 | $1,659.59 | |
United
| Facility | $151.36 | $151.36 | $954.99 | |
United
| Professional | $741.31 | $933.25 | $1,479.11 |