| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $126.06 | $235.00 | $751.53 | |
Cigna
| Facility | $694.45 | $694.45 | $2,656.00 | |
Cigna
| Professional | $112.12 | $186.99 | $339.74 | |
United
| Facility | $414.00 | $1,320.00 | $1,320.00 | |
United
| Professional | $168.56 | $213.64 | $453.01 |