| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $21.28 | $29.23 | $42.18 | |
Cigna
| Facility | $15.26 | $15.26 | $15.26 | |
Cigna
| Professional | $21.26 | $37.40 | $63.11 | |
United
| Facility | $143.00 | $143.00 | $143.00 | |
United
| Professional | $26.91 | $38.31 | $72.76 |