| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,513.56 | $1,513.56 | $1,513.56 | |
Aetna
| Professional | $1,023.29 | $1,047.13 | $1,071.52 | |
Cigna
| Professional | $1,513.56 | $1,513.56 | $1,862.09 | |
United
| Professional | $457.09 | $776.25 | $1,949.84 |