| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $233.90 | $409.28 | $437.70 | |
Cigna
| Facility | $524.37 | $524.37 | $524.37 | |
Cigna
| Professional | $208.39 | $419.47 | $741.90 | |
United
| Facility | $440.00 | $440.00 | $440.00 | |
United
| Professional | $353.91 | $512.59 | $993.55 |