| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $406.82 | $412.88 | $571.47 | |
Cigna
| Facility | $53.00 | $136.19 | $136.19 | |
Cigna
| Professional | $347.67 | $449.15 | $737.23 | |
United
| Facility | $104.00 | $143.00 | $143.00 | |
United
| Professional | $340.23 | $429.30 | $944.09 |