| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,559.61 | $1,559.61 | $1,691.99 | |
Cigna
| Professional | $1,352.37 | $1,785.90 | $2,098.65 | |
United
| Professional | $1,271.25 | $1,455.77 | $3,311.44 |