| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,225.25 | $2,225.25 | $3,725.68 | |
Cigna
| Professional | $2,441.78 | $3,946.08 | $4,648.53 | |
United
| Professional | $2,429.71 | $3,027.37 | $7,346.81 |