| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,630.50 | $4,630.50 | $6,394.50 | |
Aetna
| Professional | $2,205.00 | $4,373.25 | $4,630.50 | |
Cigna
| Facility | $2,388.75 | $2,770.95 | $6,592.95 | |
United
| Professional | $1,543.50 | $2,205.00 | $3,675.00 |