| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,139.18 | $1,139.18 | $1,184.80 | |
Cigna
| Professional | $1,093.84 | $1,502.98 | $2,099.01 | |
United
| Professional | $1,092.56 | $1,413.91 | $2,705.37 |