| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.00 | $3,740.00 | $8,229.00 | |
Aetna
| Professional | $8,057.17 | $8,057.17 | $8,057.17 | |
Cigna
| Professional | $662.70 | $662.70 | $662.70 | |
United
| Facility | $575.00 | $945.00 | $6,295.00 |