| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,494.20 | $1,494.20 | $1,617.29 | |
Cigna
| Professional | $1,320.31 | $2,080.44 | $2,338.46 | |
United
| Professional | $1,407.40 | $1,798.26 | $3,190.68 |