| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $152.27 | $302.38 | $350.53 | |
Cigna
| Facility | $524.37 | $524.37 | $524.37 | |
Cigna
| Professional | $143.02 | $287.45 | $535.10 | |
United
| Facility | $440.00 | $440.00 | $440.00 | |
United
| Professional | $278.37 | $377.59 | $817.32 |