| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,230.27 | $2,089.30 | $3,090.30 | |
Aetna
| Professional | $3,801.89 | $3,890.45 | $3,981.07 | |
Cigna
| Professional | $5,128.61 | $5,128.61 | $5,128.61 | |
United
| Facility | $2,187.76 | $5,888.44 | $14,791.08 |