| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $47.66 | $71.53 | $120.17 | |
Cigna
| Professional | $55.51 | $89.80 | $191.12 | |
United
| Facility | $500.00 | $500.00 | $500.00 | |
United
| Professional | $78.34 | $162.46 | $178.38 |