| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,280.28 | $1,280.28 | $1,390.75 | |
Cigna
| Professional | $1,137.66 | $1,466.76 | $1,696.52 | |
United
| Professional | $1,087.79 | $1,357.83 | $3,004.51 |