| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $74.98 | $207.03 | $229.12 | |
Cigna
| Facility | $407.86 | $407.86 | $407.86 | |
Cigna
| Professional | $81.29 | $145.55 | $373.90 | |
United
| Facility | $440.00 | $440.00 | $440.00 | |
United
| Professional | $186.92 | $263.45 | $475.64 |