| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $26.16 | $106.71 | $143.03 | |
Cigna
| Facility | $96.53 | $96.53 | $96.53 | |
Cigna
| Professional | $32.49 | $87.97 | $220.44 | |
United
| Facility | $143.00 | $143.00 | $143.00 | |
United
| Professional | $112.17 | $162.33 | $285.43 |