| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,188.00 | $2,689.71 | $7,935.66 | |
Cigna
| Facility | $280.00 | $364.14 | $1,789.00 | |
United
| Facility | $1,000.00 | $1,558.00 | $3,626.00 |
Subacuate/Other
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,188.00 | $2,689.71 | $7,935.66 | |
Cigna
| Facility | $280.00 | $364.14 | $1,789.00 | |
United
| Facility | $1,000.00 | $1,558.00 | $3,626.00 |