| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,726.00 | $3,726.00 | $3,726.00 | |
Aetna
| Professional | $2,170.80 | $2,170.80 | $2,689.20 | |
Cigna
| Facility | $2,106.00 | $2,106.00 | $2,106.00 | |
United
| Professional | $1,360.80 | $1,704.45 | $7,128.00 |