| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,314.95 | $1,314.95 | $1,356.05 | |
Cigna
| Professional | $1,254.61 | $1,722.31 | $2,422.86 | |
United
| Professional | $1,273.66 | $1,593.14 | $3,132.69 |