| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,866.94 | $1,870.63 | $1,870.63 | |
Cigna
| Professional | $1,741.84 | $2,437.32 | $3,446.74 | |
United
| Professional | $1,612.18 | $2,741.44 | $4,358.93 |