| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,073.80 | $4,073.80 | $7,244.36 | |
Aetna
| Professional | $33.11 | $43.65 | $120.23 | |
Cigna
| Facility | $21.38 | $21.38 | $21.38 | |
Cigna
| Professional | $30.20 | $52.48 | $85.11 | |
United
| Facility | $144.54 | $144.54 | $501.19 | |
United
| Professional | $32.36 | $48.98 | $81.28 |