| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,861.54 | $2,861.54 | $6,907.00 | |
Aetna
| Professional | $1,062.39 | $1,113.44 | $1,211.20 | |
Cigna
| Professional | $1,141.01 | $1,371.91 | $1,950.26 | |
United
| Professional | $1,080.66 | $1,506.07 | $3,012.13 |