| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,955.51 | $1,955.51 | $1,977.51 | |
Cigna
| Professional | $1,828.76 | $2,557.39 | $3,603.12 | |
United
| Professional | $1,622.52 | $2,328.39 | $4,656.78 |