| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,816.00 | $5,816.00 | $6,907.00 | |
Aetna
| Professional | $1,182.58 | $1,194.26 | $1,194.26 | |
Cigna
| Professional | $1,075.83 | $1,447.66 | $2,200.48 | |
United
| Professional | $1,036.10 | $1,340.85 | $2,655.19 |