| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,897.79 | $4,897.79 | $7,244.36 | |
Aetna
| Professional | $1,202.26 | $1,318.26 | $3,235.94 | |
Cigna
| Professional | $1,122.02 | $1,548.82 | $2,238.72 | |
United
| Professional | $1,023.29 | $1,412.54 | $2,187.76 |