| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,496.55 | $1,496.55 | $1,623.45 | |
Cigna
| Professional | $1,314.00 | $1,714.01 | $2,024.71 | |
United
| Professional | $1,372.05 | $1,588.69 | $3,177.37 |