| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,339.00 | $3,339.00 | $4,611.00 | |
Aetna
| Professional | $1,590.00 | $2,570.50 | $3,339.00 | |
Cigna
| Facility | $1,722.50 | $1,998.10 | $3,462.23 | |
United
| Professional | $1,113.00 | $1,590.00 | $2,650.00 |