| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,822.60 | $3,822.60 | $3,822.60 | |
Aetna
| Professional | $2,227.08 | $2,758.92 | $2,758.92 | |
Cigna
| Facility | $2,160.60 | $2,160.60 | $2,160.60 | |
Cigna
| Professional | $3,819.42 | $3,819.42 | $4,774.28 | |
United
| Professional | $1,396.08 | $1,994.40 | $7,312.80 |