| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,552.00 | $2,552.00 | $2,552.00 | |
Aetna
| Professional | $1,753.11 | $1,841.88 | $1,841.88 | |
Cigna
| Professional | $2,549.86 | $2,549.86 | $3,187.33 | |
United
| Professional | $776.70 | $1,065.18 | $2,219.13 |