| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,045.79 | $2,048.17 | $2,048.17 | |
Cigna
| Professional | $1,906.10 | $2,675.47 | $3,773.86 | |
United
| Professional | $1,660.66 | $2,356.34 | $4,780.29 |