| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,073.80 | $4,073.80 | $4,073.80 | |
Aetna
| Professional | $2,754.23 | $2,818.38 | $2,818.38 | |
Cigna
| Facility | $2,290.87 | $2,290.87 | $2,290.87 | |
Cigna
| Professional | $4,073.80 | $4,073.80 | $5,011.87 | |
United
| Professional | $1,230.27 | $2,089.30 | $5,248.07 |