| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,917.73 | $2,917.73 | $3,818.17 | |
Cigna
| Professional | $3,121.65 | $4,041.74 | $4,715.04 | |
United
| Professional | $2,794.90 | $3,313.25 | $8,319.96 |