| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,032.00 | $4,032.00 | $5,568.00 | |
Aetna
| Professional | $1,920.00 | $3,808.00 | $4,032.00 | |
Cigna
| Facility | $2,080.00 | $2,412.80 | $4,784.00 | |
United
| Professional | $1,344.00 | $1,920.00 | $3,200.00 |