| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $267.94 | $271.89 | $372.78 | |
Cigna
| Facility | $694.45 | $694.45 | $2,656.00 | |
Cigna
| Professional | $223.36 | $327.91 | $504.48 | |
United
| Facility | $414.00 | $1,320.00 | $1,320.00 | |
United
| Professional | $244.66 | $319.32 | $627.90 |