| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $114.56 | $238.12 | $285.25 | |
Cigna
| Facility | $524.37 | $524.37 | $524.37 | |
Cigna
| Professional | $110.51 | $235.79 | $414.70 | |
United
| Facility | $440.00 | $440.00 | $440.00 | |
United
| Professional | $220.84 | $345.47 | $585.84 |