| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $62.79 | $159.88 | $209.06 | |
Cigna
| Facility | $134.50 | $134.50 | $2,151.00 | |
Cigna
| Professional | $67.87 | $126.73 | $233.61 | |
United
| Facility | $414.00 | $1,320.00 | $1,320.00 | |
United
| Professional | $120.55 | $154.60 | $332.39 |