| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $341.68 | $399.30 | $466.73 | |
Cigna
| Facility | $559.00 | $559.00 | $559.00 | |
Cigna
| Professional | $287.83 | $330.04 | $540.49 | |
United
| Professional | $305.93 | $368.21 | $876.32 |