| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,267.01 | $1,267.01 | $1,308.95 | |
Cigna
| Professional | $1,207.02 | $1,665.53 | $2,334.53 | |
United
| Professional | $1,256.84 | $1,768.04 | $3,088.93 |