| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,181.00 | $2,138.00 | $4,012.80 | |
Aetna
| Professional | $3,888.42 | $4,012.80 | $4,012.80 | |
Cigna
| Professional | $5,141.25 | $5,141.25 | $5,141.25 | |
United
| Facility | $2,104.00 | $4,555.00 | $8,929.00 |