| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,897.79 | $4,897.79 | $7,244.36 | |
Aetna
| Professional | $1,698.24 | $2,089.30 | $4,265.80 | |
Cigna
| Professional | $1,584.89 | $2,137.96 | $2,290.87 | |
United
| Professional | $1,698.24 | $1,995.26 | $4,073.80 |