| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,717.99 | $1,717.99 | $1,862.39 | |
Cigna
| Professional | $1,522.27 | $2,505.88 | $2,786.43 | |
United
| Professional | $1,618.29 | $2,236.81 | $4,062.98 |