| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,281.19 | $2,281.19 | $2,281.19 | |
Aetna
| Professional | $1,158.58 | $2,281.19 | $2,281.19 | |
Cigna
| Facility | $1,482.94 | $1,482.94 | $2,655.63 | |
Cigna
| Professional | $1,260.50 | $1,482.94 | $2,582.98 | |
United
| Professional | $789.32 | $1,353.86 | $1,863.81 |