| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $15,648.00 | |
Aetna
| Professional | $1,463.84 | $1,463.84 | $1,578.65 | |
Cigna
| Professional | $1,267.35 | $1,666.54 | $1,919.38 | |
United
| Professional | $1,245.23 | $1,527.13 | $3,408.94 |