| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $41.75 | $85.62 | $136.30 | |
Cigna
| Facility | $62.11 | $62.11 | $62.11 | |
Cigna
| Professional | $49.75 | $83.56 | $190.75 | |
United
| Facility | $143.00 | $143.00 | $143.00 | |
United
| Professional | $88.23 | $162.86 | $228.36 |