| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,510.53 | $1,510.53 | $1,979.46 | |
Cigna
| Professional | $1,623.69 | $2,090.94 | $2,427.86 | |
United
| Professional | $1,673.67 | $2,113.85 | $4,288.12 |