| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $94.27 | $154.79 | $522.85 | |
Cigna
| Facility | $1,404.00 | $1,404.00 | $1,404.00 | |
Cigna
| Professional | $84.96 | $137.66 | $242.45 | |
United
| Facility | $104.00 | $143.00 | $143.00 | |
United
| Professional | $120.18 | $159.22 | $322.97 |