| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,968.83 | $1,968.83 | $1,968.83 | |
Aetna
| Professional | $999.95 | $1,968.83 | $1,968.83 | |
Cigna
| Facility | $1,800.00 | $1,800.00 | $2,329.55 | |
Cigna
| Professional | $1,530.00 | $1,800.00 | $2,229.28 | |
United
| Professional | $692.31 | $1,168.47 | $1,608.59 |