| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,816.00 | $5,816.00 | $6,907.00 | |
Aetna
| Professional | $1,376.81 | $1,390.20 | $1,390.20 | |
Cigna
| Professional | $1,286.21 | $1,821.90 | $2,561.51 | |
United
| Professional | $1,372.01 | $1,871.12 | $3,180.58 |