| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,181.00 | $1,875.00 | $9,477.00 | |
Aetna
| Professional | $1,875.00 | $1,875.00 | $1,875.00 | |
Cigna
| Professional | $367.71 | $367.71 | $420.00 | |
United
| Facility | $375.00 | $1,230.00 | $2,421.00 |