| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $15,648.00 | |
Aetna
| Professional | $1,708.68 | $1,708.68 | $1,853.30 | |
Cigna
| Professional | $1,518.85 | $1,957.43 | $2,312.42 | |
United
| Professional | $1,450.02 | $1,815.92 | $4,018.14 |