| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,879.97 | $4,879.97 | $6,739.02 | |
Aetna
| Professional | $2,323.80 | $3,756.81 | $4,879.97 | |
Cigna
| Facility | $2,517.44 | $4,995.97 | $7,261.33 | |
United
| Professional | $1,626.66 | $2,323.80 | $3,640.62 |