| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,387.59 | $1,387.59 | $1,422.61 | |
Cigna
| Professional | $1,308.18 | $1,740.51 | $2,556.69 | |
United
| Professional | $1,349.45 | $1,746.35 | $3,163.82 |