| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,398.36 | $2,398.36 | $2,581.92 | |
Cigna
| Professional | $1,933.72 | $2,728.05 | $3,171.98 | |
United
| Professional | $1,524.43 | $2,229.82 | $5,606.21 |