| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,687.78 | $1,687.78 | $1,745.31 | |
Cigna
| Professional | $1,606.80 | $2,323.69 | $5,440.40 | |
United
| Professional | $1,781.25 | $2,411.48 | $4,125.00 |