| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,496.63 | $1,496.63 | $1,618.21 | |
Cigna
| Professional | $1,308.57 | $1,695.65 | $1,992.44 | |
United
| Professional | $1,250.44 | $1,570.71 | $3,475.56 |