| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $257.11 | $272.74 | $323.79 | |
Cigna
| Facility | $141.44 | $141.44 | $141.44 | |
Cigna
| Professional | $265.49 | $316.58 | $566.61 | |
United
| Facility | $143.00 | $143.00 | $143.00 | |
United
| Professional | $259.58 | $315.85 | $722.29 |