| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $1,725.75 | $1,938.19 | $3,698.09 | |
Cigna
| Facility | $919.73 | $919.73 | $919.73 | |
Cigna
| Professional | $1,305.66 | $1,557.78 | $3,600.59 | |
United
| Facility | $440.00 | $440.00 | $440.00 | |
United
| Professional | $1,308.20 | $1,704.13 | $4,607.54 |