| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,693.39 | $1,693.39 | $1,749.87 | |
Cigna
| Professional | $1,612.41 | $2,224.46 | $3,120.17 | |
United
| Professional | $1,711.67 | $2,132.60 | $4,058.29 |