| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,465.14 | $2,465.14 | $2,465.14 | |
Aetna
| Professional | $1,436.21 | $1,779.19 | $1,779.19 | |
Cigna
| Facility | $1,393.34 | $1,393.34 | $1,393.34 | |
Cigna
| Professional | $2,463.13 | $2,463.13 | $3,078.92 | |
United
| Professional | $252.88 | $900.31 | $4,715.92 |