| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,695.71 | $2,695.71 | $2,898.90 | |
Cigna
| Professional | $1,837.82 | $3,068.13 | $3,581.22 | |
United
| Professional | $1,724.38 | $2,246.29 | $6,313.70 |