| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,820.93 | $1,820.93 | $1,975.04 | |
Cigna
| Professional | $1,618.79 | $2,086.42 | $2,464.46 | |
United
| Professional | $1,671.36 | $1,996.61 | $3,870.53 |