| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $3,170.25 | $3,170.25 | $3,404.64 | |
Cigna
| Professional | $2,735.06 | $3,606.39 | $4,206.70 | |
United
| Professional | $2,552.53 | $2,952.07 | $7,417.96 |