| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $328.16 | $420.57 | $640.47 | |
Cigna
| Facility | $559.00 | $559.00 | $559.00 | |
Cigna
| Professional | $280.87 | $430.00 | $621.17 | |
United
| Professional | $396.24 | $458.30 | $1,166.25 |