| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,277.00 | $3,308.00 | $9,477.00 | |
Aetna
| Professional | $1,846.00 | $1,846.00 | $6,224.00 | |
Cigna
| Facility | $2,000.00 | $2,500.00 | $9,073.00 | |
United
| Facility | $375.00 | $1,056.00 | $2,558.00 |