| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $267.60 | $384.71 | $659.60 | |
Cigna
| Facility | $418.00 | $418.00 | $418.00 | |
Cigna
| Professional | $540.82 | $540.82 | $540.82 | |
United
| Professional | $404.68 | $528.82 | $1,288.74 |