| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,710.48 | $1,710.48 | $1,710.48 | |
Aetna
| Professional | $1,175.02 | $1,234.52 | $1,234.52 | |
Cigna
| Facility | $966.79 | $966.79 | $966.79 | |
Cigna
| Professional | $1,708.99 | $1,708.99 | $2,136.23 | |
United
| Professional | $520.58 | $713.94 | $1,487.37 |