| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,624.78 | $2,624.78 | $2,842.19 | |
Cigna
| Professional | $2,169.40 | $3,008.27 | $3,562.00 | |
United
| Professional | $1,572.90 | $2,466.64 | $6,193.14 |