| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $103.94 | $195.56 | $274.73 | |
Cigna
| Facility | $1,404.00 | $1,533.78 | $1,533.78 | |
Cigna
| Professional | $96.59 | $187.88 | $331.76 | |
United
| Facility | $1,027.00 | $1,485.00 | $1,485.00 | |
United
| Professional | $173.74 | $218.14 | $458.77 |