| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $3,721.36 | $3,721.36 | $4,030.91 | |
Cigna
| Professional | $3,293.00 | $4,406.55 | $4,910.42 | |
United
| Professional | $3,386.71 | $3,993.58 | $8,836.70 |