| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,390.21 | $2,390.21 | $3,300.78 | |
Aetna
| Professional | $1,138.20 | $2,257.42 | $2,390.21 | |
Cigna
| Facility | $1,233.05 | $1,430.34 | $3,403.22 | |
United
| Facility | $1,707.30 | $1,707.30 | $1,707.30 | |
United
| Professional | $796.74 | $1,138.20 | $1,897.00 |