| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,301.65 | $3,301.65 | $3,301.65 | |
Aetna
| Professional | $1,923.57 | $1,923.57 | $2,382.92 | |
Cigna
| Facility | $1,866.15 | $1,866.15 | $1,866.15 | |
United
| Professional | $893.25 | $1,722.60 | $6,316.20 |