| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,181.00 | $1,821.00 | $9,477.00 | |
Aetna
| Professional | $1,201.78 | $1,201.78 | $1,201.78 | |
Cigna
| Facility | $2,497.67 | $2,497.67 | $2,497.67 | |
United
| Facility | $130.00 | $337.00 | $768.00 |