| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $15,648.00 | |
Aetna
| Professional | $1,222.02 | $1,222.02 | $1,327.50 | |
Cigna
| Professional | $1,056.33 | $1,400.63 | $1,653.35 | |
United
| Professional | $1,000.35 | $1,281.31 | $2,870.15 |