| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $214.25 | $425.36 | $459.11 | |
Cigna
| Facility | $524.37 | $524.37 | $524.37 | |
Cigna
| Professional | $193.81 | $402.46 | $710.98 | |
United
| Facility | $440.00 | $440.00 | $440.00 | |
United
| Professional | $362.28 | $510.65 | $1,011.42 |