| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,723.85 | $2,723.85 | $2,747.12 | |
Cigna
| Professional | $2,536.83 | $3,585.32 | $5,018.84 | |
United
| Professional | $2,224.52 | $3,058.21 | $6,413.30 |