| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $482.87 | $551.41 | $583.54 | |
Cigna
| Facility | $640.00 | $640.00 | $640.00 | |
Cigna
| Professional | $400.98 | $436.26 | $701.32 | |
United
| Professional | $382.81 | $442.90 | $1,100.27 |