| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,396.93 | $4,396.93 | $6,071.96 | |
Aetna
| Professional | $2,093.78 | $4,152.66 | $4,396.93 | |
Cigna
| Facility | $2,268.26 | $2,631.18 | $6,260.40 | |
United
| Professional | $1,465.64 | $2,093.78 | $3,489.63 |