| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $104.97 | $200.94 | $280.08 | |
Cigna
| Facility | $694.45 | $694.45 | $1,404.00 | |
Cigna
| Professional | $97.07 | $184.74 | $322.27 | |
United
| Facility | $414.00 | $1,320.00 | $1,320.00 | |
United
| Professional | $180.79 | $216.50 | $467.88 |