| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $83.59 | $314.69 | $418.79 | |
Cigna
| Facility | $143.40 | $143.40 | $1,404.00 | |
Cigna
| Professional | $88.37 | $166.25 | $484.34 | |
United
| Facility | $104.00 | $143.00 | $143.00 | |
United
| Professional | $283.57 | $391.00 | $766.70 |