| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,244.36 | $7,244.36 | $7,244.36 | |
Aetna
| Professional | $1,548.82 | $1,862.09 | $3,801.89 | |
Cigna
| Professional | $1,513.56 | $1,949.84 | $2,398.83 | |
United
| Facility | $151.36 | $151.36 | $151.36 | |
United
| Professional | $1,584.89 | $1,905.46 | $3,715.35 |