| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,819.32 | $1,819.32 | $2,402.69 | |
Cigna
| Professional | $1,916.51 | $2,544.09 | $2,963.65 | |
United
| Professional | $1,761.38 | $2,080.91 | $5,228.60 |