| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,793.73 | $1,793.73 | $6,090.00 | |
Aetna
| Professional | $1,793.73 | $1,793.73 | $3,045.00 | |
Cigna
| Facility | $2,275.00 | $2,639.00 | $6,279.00 | |
United
| Facility | $3,150.00 | $3,150.00 | $3,150.00 | |
United
| Professional | $1,470.00 | $2,100.00 | $3,500.00 |