| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $94.60 | $151.52 | $176.24 | |
Cigna
| Facility | $407.86 | $407.86 | $407.86 | |
Cigna
| Professional | $104.87 | $176.28 | $296.42 | |
United
| Facility | $440.00 | $440.00 | $440.00 | |
United
| Professional | $145.44 | $204.26 | $370.13 |