| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,174.82 | $1,174.82 | $1,212.96 | |
Cigna
| Professional | $1,120.65 | $1,543.63 | $3,786.93 | |
United
| Professional | $1,063.93 | $1,231.41 | $2,812.12 |