| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,057.00 | $1,688.00 | $4,478.00 | |
Aetna
| Professional | $1,494.00 | $1,494.00 | $1,846.00 | |
Cigna
| Professional | $6,756.91 | $6,756.91 | $6,756.91 | |
United
| Facility | $3,741.00 | $7,613.00 | $15,098.00 |