| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $688.00 | $1,821.00 | $9,477.00 | |
Aetna
| Professional | $688.00 | $688.00 | $688.00 | |
Cigna
| Facility | $3,125.00 | $8,439.00 | $10,690.00 | |
United
| Facility | $375.00 | $1,230.00 | $5,241.00 |