| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $1,672.97 | $1,709.04 | $1,709.04 | |
Cigna
| Professional | $1,578.70 | $2,165.71 | $3,149.00 | |
United
| Professional | $1,565.73 | $1,930.86 | $3,900.32 |