| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,312.50 | $4,312.50 | $4,312.50 | |
Aetna
| Professional | $2,512.50 | $2,512.50 | $3,112.50 | |
Cigna
| Facility | $2,437.50 | $2,437.50 | $2,437.50 | |
United
| Professional | $1,226.53 | $1,752.18 | $8,250.00 |