| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,769.92 | $2,769.92 | $3,825.13 | |
Aetna
| Professional | $1,319.01 | $2,616.04 | $2,769.92 | |
Cigna
| Facility | $1,428.93 | $1,657.56 | $3,943.85 | |
United
| Facility | $1,978.52 | $1,978.52 | $1,978.52 | |
United
| Professional | $923.31 | $1,319.01 | $2,198.35 |