| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $340.00 | $1,164.00 | $1,265.00 | |
Cigna
| Facility | $290.00 | $350.00 | $969.00 | |
United
| Facility | $558.00 | $1,009.00 | $2,037.00 |
Subacuate/Other
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $340.00 | $1,164.00 | $1,265.00 | |
Cigna
| Facility | $290.00 | $350.00 | $969.00 | |
United
| Facility | $558.00 | $1,009.00 | $2,037.00 |