| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $660.69 | $4,466.84 | $10,232.93 | |
Aetna
| Professional | $660.69 | $660.69 | $1,380.38 | |
Cigna
| Facility | $691.83 | $691.83 | $691.83 | |
United
| Facility | $724.44 | $2,290.87 | $6,456.54 |