| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $30.06 | $36.25 | $45.79 | |
Cigna
| Facility | $640.00 | $640.00 | $640.00 | |
Cigna
| Professional | $28.85 | $36.90 | $53.58 | |
United
| Professional | $32.51 | $38.85 | $87.90 |