| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,602.08 | $3,602.08 | $3,602.08 | |
Aetna
| Professional | $690.18 | $690.18 | $923.10 | |
Cigna
| Facility | $734.67 | $734.67 | $734.67 | |
Cigna
| Professional | $240.52 | $240.52 | $240.52 | |
United
| Professional | $683.77 | $683.77 | $683.77 |