| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $645.04 | $750.06 | $936.53 | |
Cigna
| Facility | $640.00 | $640.00 | $640.00 | |
Cigna
| Professional | $526.07 | $641.66 | $1,086.90 | |
United
| Facility | $1,000.00 | $1,000.00 | $1,000.00 | |
United
| Professional | $590.63 | $691.75 | $1,739.85 |