| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,068.36 | $1,068.36 | $1,156.58 | |
Cigna
| Professional | $942.80 | $1,290.29 | $1,436.46 | |
United
| Professional | $1,009.49 | $1,188.32 | $2,285.94 |