| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,316.00 | $6,316.00 | $6,907.00 | |
Aetna
| Professional | $539.65 | $648.21 | $718.93 | |
Cigna
| Facility | $418.00 | $418.00 | $418.00 | |
Cigna
| Professional | $469.17 | $516.42 | $817.22 | |
United
| Professional | $472.97 | $545.79 | $1,346.06 |