| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,535.78 | $1,546.34 | $1,546.34 | |
Cigna
| Professional | $1,629.08 | $2,269.71 | $2,632.62 | |
United
| Professional | $1,506.78 | $2,017.49 | $5,092.93 |