| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,122.36 | $2,122.36 | $2,126.61 | |
Cigna
| Professional | $1,978.83 | $2,773.64 | $3,910.56 | |
United
| Professional | $1,726.20 | $2,397.86 | $4,955.74 |