| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,316.00 | $6,316.00 | $6,907.00 | |
Aetna
| Professional | $499.86 | $559.23 | $593.85 | |
Cigna
| Facility | $418.00 | $418.00 | $418.00 | |
Cigna
| Professional | $431.50 | $546.16 | $726.52 | |
United
| Professional | $438.11 | $563.23 | $1,180.09 |