| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $559.00 | $1,642.00 | $1,685.00 | |
Cigna
| Facility | $285.00 | $500.00 | $1,479.00 | |
United
| Facility | $486.00 | $701.00 | $1,217.00 |
Subacuate/Other
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $559.00 | $1,642.00 | $1,685.00 | |
Cigna
| Facility | $285.00 | $500.00 | $1,479.00 | |
United
| Facility | $486.00 | $701.00 | $1,217.00 |