| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $71.45 | $205.08 | $277.38 | |
Cigna
| Facility | $537.02 | $537.02 | $1,404.00 | |
Cigna
| Professional | $75.17 | $164.02 | $361.54 | |
United
| Facility | $414.00 | $1,320.00 | $1,320.00 | |
United
| Professional | $179.03 | $240.84 | $453.71 |