| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $488.83 | $559.23 | $634.61 | |
Cigna
| Facility | $418.00 | $418.00 | $418.00 | |
Cigna
| Professional | $431.50 | $606.91 | $904.66 | |
United
| Professional | $442.10 | $794.89 | $1,195.32 |