| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,244.36 | $7,244.36 | $7,244.36 | |
Aetna
| Professional | $1,096.48 | $1,348.96 | $2,754.23 | |
Cigna
| Professional | $1,096.48 | $1,412.54 | $1,659.59 | |
United
| Facility | $151.36 | $151.36 | $151.36 | |
United
| Professional | $1,148.15 | $1,380.38 | $2,630.27 |