| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,347.75 | $2,347.75 | $2,351.92 | |
Cigna
| Professional | $2,185.61 | $3,073.31 | $4,325.85 | |
United
| Professional | $2,096.26 | $2,703.88 | $5,590.75 |