| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,235.94 | $3,235.94 | $7,244.36 | |
Aetna
| Professional | $63.10 | $131.83 | $257.04 | |
Cigna
| Facility | $134.90 | $134.90 | $134.90 | |
Cigna
| Professional | $64.57 | $134.90 | $263.03 | |
United
| Facility | $100.00 | $416.87 | $1,318.26 | |
United
| Professional | $60.26 | $120.23 | $194.98 |