| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,583.40 | $3,583.40 | $3,583.40 | |
Aetna
| Professional | $2,087.71 | $2,087.71 | $2,586.28 | |
Cigna
| Facility | $2,025.40 | $2,025.40 | $2,025.40 | |
United
| Professional | $1,312.81 | $3,125.73 | $6,855.20 |