| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $692.00 | $969.00 | $1,668.00 | |
Cigna
| Facility | $285.00 | $360.00 | $1,198.67 | |
United
| Facility | $700.00 | $1,016.00 | $3,439.00 |
Subacuate/Other
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $692.00 | $969.00 | $1,668.00 | |
Cigna
| Facility | $285.00 | $360.00 | $1,198.67 | |
United
| Facility | $700.00 | $1,016.00 | $3,439.00 |