| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,363.35 | $2,363.35 | $2,541.85 | |
Cigna
| Professional | $2,067.16 | $2,689.26 | $3,140.82 | |
United
| Professional | $1,975.87 | $2,238.17 | $5,531.80 |