| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,822.13 | $1,822.13 | $1,976.88 | |
Cigna
| Professional | $1,620.00 | $2,086.83 | $2,433.85 | |
United
| Professional | $1,672.01 | $2,013.75 | $4,283.85 |