| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,177.24 | $1,177.24 | $1,254.05 | |
Cigna
| Professional | $1,026.88 | $1,320.50 | $1,553.51 | |
United
| Professional | $1,056.66 | $1,131.91 | $2,446.98 |