| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,549.93 | $9,549.93 | $9,549.93 | |
Aetna
| Professional | $933.25 | $1,258.93 | $2,344.23 | |
Cigna
| Professional | $812.83 | $1,412.54 | $2,137.96 | |
United
| Professional | $1,000.00 | $1,412.54 | $3,890.45 |