| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,884.03 | $2,884.03 | $2,884.03 | |
Aetna
| Professional | $1,698.24 | $1,995.26 | $2,511.89 | |
Cigna
| Facility | $1,819.70 | $1,819.70 | $1,819.70 | |
United
| Professional | $1,047.13 | $1,513.56 | $5,495.41 |