| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,570.07 | $1,570.07 | $1,623.43 | |
Cigna
| Professional | $1,495.84 | $2,064.29 | $5,060.97 | |
United
| Professional | $1,507.62 | $1,951.04 | $3,765.29 |