| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $114.45 | $957.28 | $1,467.05 | |
Cigna
| Facility | $4,198.00 | $4,198.00 | $4,198.00 | |
Cigna
| Professional | $118.53 | $244.20 | $1,731.68 | |
United
| Facility | $250.00 | $440.00 | $440.00 | |
United
| Professional | $984.15 | $1,277.48 | $2,660.90 |