| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,508.00 | $12,488.00 | $12,488.00 | |
Cigna
| Facility | $530.00 | $585.00 | $1,595.00 | |
United
| Facility | $786.00 | $786.00 | $1,285.00 |
Private (Deluxe) - Pediatric
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,508.00 | $12,488.00 | $12,488.00 | |
Cigna
| Facility | $530.00 | $585.00 | $1,595.00 | |
United
| Facility | $786.00 | $786.00 | $1,285.00 |