| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,316.00 | $6,316.00 | $6,907.00 | |
Aetna
| Professional | $1,505.02 | $1,505.02 | $1,513.81 | |
Cigna
| Professional | $1,412.74 | $1,873.52 | $2,773.07 | |
United
| Professional | $1,494.85 | $1,704.65 | $3,449.47 |