| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,448.00 | $2,448.00 | $2,448.00 | |
Aetna
| Professional | $2,304.00 | $2,448.00 | $2,448.00 | |
Cigna
| Professional | $396.00 | $396.00 | $396.00 | |
United
| Professional | $2,400.00 | $2,400.00 | $2,400.00 |