| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,416.88 | $1,416.88 | $1,868.14 | |
Cigna
| Professional | $1,532.85 | $1,972.98 | $2,297.01 | |
United
| Professional | $1,544.19 | $1,827.91 | $4,044.68 |