| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,244.36 | $7,244.36 | $7,244.36 | |
Aetna
| Professional | $2,089.30 | $2,570.40 | $5,370.32 | |
Cigna
| Professional | $1,905.46 | $2,630.27 | $3,801.89 | |
United
| Facility | $151.36 | $151.36 | $151.36 | |
United
| Professional | $1,819.70 | $2,398.83 | $3,801.89 |