| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $618.16 | $708.97 | $892.02 | |
Cigna
| Facility | $418.00 | $418.00 | $418.00 | |
Cigna
| Professional | $511.18 | $626.73 | $1,025.55 | |
United
| Professional | $577.17 | $697.47 | $1,656.36 |