| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,790.57 | $2,790.57 | $2,790.57 | |
Aetna
| Professional | $1,865.69 | $2,036.69 | $2,790.57 | |
Cigna
| Professional | $2,170.61 | $2,827.11 | $3,714.42 | |
United
| Professional | $2,100.00 | $2,300.00 | $5,763.35 |