| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $787.00 | $1,201.78 | $8,229.00 | |
Aetna
| Professional | $1,201.78 | $1,201.78 | $1,201.78 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
United
| Facility | $50.00 | $668.00 | $3,176.00 |