| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,242.50 | $2,242.50 | $2,242.50 | |
Aetna
| Professional | $1,618.50 | $1,618.50 | $1,618.50 | |
Cigna
| Facility | $1,267.50 | $1,267.50 | $1,267.50 | |
United
| Professional | $789.75 | $1,170.00 | $3,861.00 |