| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,594.17 | $1,594.17 | $1,729.10 | |
Cigna
| Professional | $1,417.61 | $1,825.01 | $2,144.19 | |
United
| Professional | $1,441.61 | $1,479.33 | $3,384.52 |