| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,342.27 | $1,353.72 | $1,353.72 | |
Cigna
| Professional | $1,298.52 | $1,785.93 | $4,363.59 | |
United
| Professional | $1,229.41 | $1,580.94 | $3,243.89 |