| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,025.60 | $6,025.60 | $7,244.36 | |
Aetna
| Professional | $2,511.89 | $3,715.35 | $4,466.84 | |
Cigna
| Facility | $10,232.93 | $10,232.93 | $10,232.93 | |
United
| Professional | $3,311.31 | $3,981.07 | $5,754.40 |