| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,244.36 | $7,244.36 | $7,244.36 | |
Aetna
| Professional | $2,137.96 | $2,630.27 | $5,248.07 | |
Cigna
| Professional | $2,137.96 | $2,818.38 | $3,311.31 | |
United
| Facility | $151.36 | $151.36 | $151.36 | |
United
| Professional | $2,187.76 | $2,570.40 | $5,248.07 |