| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,300.74 | $1,300.74 | $1,413.14 | |
Cigna
| Professional | $1,159.70 | $1,489.78 | $1,745.00 | |
United
| Professional | $1,191.69 | $1,504.33 | $3,053.23 |