| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,177.38 | $1,177.38 | $1,215.27 | |
Cigna
| Professional | $1,124.01 | $1,545.83 | $3,795.17 | |
United
| Professional | $1,123.35 | $1,453.76 | $2,813.93 |