| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $1,059.20 | $1,470.88 | $1,509.77 | |
Cigna
| Facility | $640.00 | $640.00 | $640.00 | |
United
| Professional | $965.96 | $1,283.67 | $3,470.73 |