| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $33.21 | $40.76 | $60.46 | |
Cigna
| Facility | $21.30 | $21.30 | $21.30 | |
Cigna
| Professional | $33.92 | $52.07 | $84.46 | |
United
| Facility | $143.00 | $143.00 | $143.00 | |
United
| Professional | $38.29 | $54.48 | $102.05 |