| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $198.22 | $207.01 | $207.01 | |
Cigna
| Professional | $188.81 | $231.56 | $405.91 | |
United
| Facility | $143.00 | $143.00 | $143.00 | |
United
| Professional | $184.44 | $252.41 | $498.68 |