| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,288.25 | $1,819.70 | $2,511.89 | |
Aetna
| Professional | $1,819.70 | $1,862.09 | $1,862.09 | |
Cigna
| Professional | $371.54 | $371.54 | $416.87 | |
United
| Facility | $371.54 | $1,071.52 | $2,570.40 |