| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,244.36 | $7,244.36 | $7,244.36 | |
Aetna
| Professional | $22.91 | $25.70 | $64.57 | |
Cigna
| Professional | $27.54 | $35.48 | $52.48 | |
United
| Facility | $501.19 | $501.19 | $501.19 | |
United
| Professional | $22.91 | $30.20 | $46.77 |