| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,453.95 | $4,453.95 | $4,453.95 | |
Aetna
| Professional | $2,594.91 | $2,594.91 | $3,214.59 | |
Cigna
| Facility | $2,517.44 | $2,517.44 | $2,517.44 | |
United
| Professional | $1,626.66 | $2,323.80 | $8,520.60 |