| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,815.84 | $2,815.84 | $2,815.84 | |
Aetna
| Professional | $1,640.54 | $2,032.30 | $2,032.30 | |
Cigna
| Facility | $1,591.56 | $1,591.56 | $1,591.56 | |
Cigna
| Professional | $2,813.77 | $2,813.77 | $3,517.21 | |
United
| Professional | $252.88 | $1,028.40 | $5,386.83 |