| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,335.11 | $1,335.11 | $1,378.51 | |
Cigna
| Professional | $1,271.44 | $1,756.81 | $2,460.01 | |
United
| Professional | $1,359.07 | $1,735.31 | $3,190.40 |