| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,456.00 | $2,456.00 | $2,456.00 | |
Cigna
| Professional | $2,316.69 | $2,316.69 | $2,316.69 | |
United
| Facility | $4,200.00 | $4,200.00 | $14,634.00 | |
United
| Professional | $1,492.03 | $3,619.31 | $5,767.95 |