| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,570.40 | $6,025.60 | $6,025.60 | |
Aetna
| Professional | $3,801.89 | $3,890.45 | $3,890.45 | |
Cigna
| Professional | $5,128.61 | $5,128.61 | $5,128.61 | |
United
| Facility | $3,019.95 | $3,019.95 | $3,019.95 |