| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,438.26 | $3,706.14 | $4,026.21 | |
Aetna
| Professional | $3,800.00 | $3,800.00 | $3,888.42 | |
Cigna
| Professional | $5,141.25 | $5,141.25 | $5,141.25 | |
United
| Facility | $4,596.00 | $7,457.00 | $12,945.00 |