| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,406.76 | $1,406.76 | $1,451.62 | |
Cigna
| Professional | $1,343.22 | $1,845.33 | $4,534.55 | |
United
| Professional | $1,342.77 | $1,701.80 | $3,357.04 |