| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $102.59 | $149.59 | $199.11 | |
Cigna
| Facility | $94.40 | $94.40 | $94.40 | |
Cigna
| Professional | $125.14 | $197.27 | $307.27 | |
United
| Facility | $440.00 | $440.00 | $440.00 | |
United
| Professional | $144.15 | $225.63 | $366.82 |