| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,893.49 | $1,897.04 | $1,897.04 | |
Cigna
| Professional | $1,766.33 | $2,472.46 | $3,495.39 | |
United
| Professional | $1,552.92 | $2,180.79 | $4,420.54 |