| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,868.75 | $1,868.75 | $1,868.75 | |
Aetna
| Professional | $1,088.75 | $1,348.75 | $1,348.75 | |
Cigna
| Facility | $1,056.25 | $1,056.25 | $1,056.25 | |
Cigna
| Professional | $1,867.59 | $1,867.59 | $2,334.48 | |
United
| Professional | $682.50 | $975.00 | $3,575.00 |