| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $46.65 | $67.29 | $71.45 | |
Cigna
| Professional | $53.94 | $88.40 | $136.31 | |
United
| Facility | $143.00 | $143.00 | $143.00 | |
United
| Professional | $65.59 | $101.72 | $166.90 |