| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,531.86 | $2,531.86 | $2,531.86 | |
Aetna
| Professional | $1,739.28 | $1,827.35 | $1,827.35 | |
Cigna
| Professional | $2,529.63 | $2,529.63 | $3,162.03 | |
United
| Professional | $924.68 | $1,320.97 | $3,302.43 |