| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $56.71 | $58.80 | $60.21 | |
Cigna
| Facility | $524.37 | $524.37 | $524.37 | |
Cigna
| Professional | $57.61 | $138.90 | $152.68 | |
United
| Facility | $440.00 | $440.00 | $440.00 | |
United
| Professional | $55.49 | $121.24 | $168.83 |