| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $2,086.67 | $2,086.67 | $2,086.67 | |
Cigna
| Professional | $1,890.31 | $2,111.19 | $3,238.87 | |
United
| Professional | $1,742.87 | $2,416.03 | $5,554.38 |