| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,460.76 | $1,886.91 | $1,886.91 | |
Cigna
| Facility | $5,035.70 | $5,035.70 | $5,035.70 | |
United
| Facility | $2,200.00 | $2,200.00 | $2,200.00 | |
United
| Professional | $435.57 | $585.65 | $3,918.53 |