| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $688.00 | $993.00 | $2,010.00 | |
Aetna
| Professional | $688.00 | $688.00 | $688.00 | |
Cigna
| Facility | $1,000.00 | $2,900.00 | $25,816.93 | |
United
| Facility | $690.00 | $1,341.00 | $15,000.00 |