| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,357.54 | $3,357.54 | $3,357.54 | |
Aetna
| Professional | $1,956.13 | $1,956.13 | $2,423.27 | |
Cigna
| Facility | $1,897.74 | $1,897.74 | $1,897.74 | |
United
| Professional | $1,226.23 | $2,919.60 | $6,423.12 |