| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,342.79 | $1,342.79 | $1,342.79 | |
Aetna
| Professional | $1,342.79 | $1,342.79 | $1,342.79 | |
Cigna
| Professional | $1,429.07 | $1,429.07 | $1,429.07 | |
United
| Professional | $1,319.20 | $1,388.63 | $1,388.63 |