| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,244.36 | $7,244.36 | $7,244.36 | |
Aetna
| Professional | $1,819.70 | $2,089.30 | $4,168.69 | |
Cigna
| Professional | $1,584.89 | $2,137.96 | $3,630.78 | |
United
| Facility | $151.36 | $323.59 | $954.99 | |
United
| Professional | $1,584.89 | $1,949.84 | $2,754.23 |