| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,588.52 | $1,588.52 | $1,723.05 | |
Cigna
| Professional | $1,325.42 | $1,818.66 | $2,149.02 | |
United
| Professional | $1,232.52 | $1,560.01 | $3,731.20 |