| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $153.78 | $153.78 | $166.02 | |
Cigna
| Professional | $149.72 | $182.71 | $316.35 | |
United
| Facility | $143.00 | $143.00 | $143.00 | |
United
| Professional | $147.61 | $193.74 | $399.10 |