| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $81.62 | $81.95 | $101.01 | |
Cigna
| Facility | $2,151.00 | $2,151.00 | $2,151.00 | |
Cigna
| Professional | $75.56 | $104.07 | $143.63 | |
United
| Facility | $324.00 | $960.00 | $960.00 | |
United
| Professional | $74.81 | $99.00 | $189.24 |