| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $3,693.11 | $3,697.04 | $4,280.52 | |
Cigna
| Facility | $2,151.00 | $2,151.00 | $2,151.00 | |
Cigna
| Professional | $3,407.76 | $4,791.01 | $6,472.46 | |
United
| Facility | $324.00 | $960.00 | $960.00 | |
United
| Professional | $3,370.27 | $4,252.97 | $8,676.54 |