| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $145.30 | $170.21 | $170.21 | |
Cigna
| Facility | $2,133.21 | $2,133.21 | $2,133.21 | |
United
| Facility | $2,200.00 | $2,200.00 | $2,200.00 | |
United
| Professional | $199.70 | $272.69 | $539.92 |