| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $56.27 | $120.87 | $168.32 | |
Cigna
| Professional | $57.90 | $115.44 | $198.95 | |
United
| Facility | $143.00 | $143.00 | $143.00 | |
United
| Professional | $109.01 | $139.00 | $286.33 |