| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,884.03 | $2,884.03 | $2,884.03 | |
Aetna
| Professional | $1,949.84 | $1,995.26 | $2,041.74 | |
Cigna
| Professional | $2,884.03 | $2,884.03 | $3,548.13 | |
United
| Professional | $870.96 | $1,479.11 | $3,715.35 |