| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,334.50 | $2,334.50 | $2,334.50 | |
Aetna
| Professional | $1,360.10 | $1,360.10 | $1,684.90 | |
Cigna
| Facility | $1,319.50 | $1,319.50 | $1,319.50 | |
United
| Professional | $852.60 | $1,218.00 | $4,466.00 |