| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,235.94 | $3,235.94 | $7,244.36 | |
Aetna
| Professional | $67.61 | $107.15 | $208.93 | |
Cigna
| Professional | $154.88 | $154.88 | $154.88 | |
United
| Facility | $501.19 | $501.19 | $501.19 | |
United
| Professional | $104.71 | $218.78 | $371.54 |