| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $235.26 | $279.72 | $449.29 | |
Cigna
| Facility | $899.00 | $899.00 | $899.00 | |
Cigna
| Professional | $204.30 | $325.02 | $424.26 | |
United
| Professional | $300.69 | $350.71 | $828.65 |