| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,244.36 | $7,244.36 | $7,244.36 | |
Aetna
| Professional | $1,230.27 | $1,479.11 | $3,090.30 | |
Cigna
| Professional | $1,230.27 | $1,548.82 | $1,862.09 | |
United
| Facility | $151.36 | $151.36 | $151.36 | |
United
| Professional | $1,230.27 | $1,412.54 | $2,951.21 |