| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,792.62 | $1,792.62 | $1,930.51 | |
Cigna
| Professional | $1,558.99 | $2,038.94 | $2,374.50 | |
United
| Professional | $1,633.27 | $1,832.95 | $3,782.31 |