| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,273.32 | $1,273.32 | $1,315.37 | |
Cigna
| Professional | $1,214.71 | $1,672.76 | $4,104.41 | |
United
| Professional | $1,202.55 | $1,529.07 | $3,046.82 |