| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $803.00 | $1,821.00 | $15,231.60 | |
Aetna
| Professional | $627.98 | $1,247.35 | $1,247.35 | |
Cigna
| Facility | $3,125.00 | $8,439.00 | $10,690.00 | |
United
| Facility | $130.00 | $345.00 | $2,790.00 |