| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $15,648.00 | |
Aetna
| Professional | $1,430.95 | $1,430.95 | $1,606.43 | |
Cigna
| Professional | $1,314.02 | $1,661.55 | $1,893.04 | |
United
| Professional | $1,367.43 | $1,564.98 | $3,166.68 |