| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,649.50 | $1,649.50 | $1,702.84 | |
Cigna
| Professional | $1,531.70 | $2,172.96 | $5,317.02 | |
United
| Professional | $1,093.66 | $1,960.77 | $3,958.57 |