| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,501.18 | $1,501.18 | $1,501.18 | |
Aetna
| Professional | $1,031.24 | $1,083.46 | $1,083.46 | |
Cigna
| Professional | $1,500.02 | $1,500.02 | $1,875.02 | |
United
| Professional | $456.88 | $626.58 | $1,305.36 |