| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,376.25 | $1,376.25 | $1,420.82 | |
Cigna
| Professional | $1,311.10 | $1,849.15 | $2,535.82 | |
United
| Professional | $1,435.02 | $1,857.09 | $3,290.68 |