| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $15,648.00 | |
Aetna
| Professional | $2,265.62 | $2,265.62 | $2,436.71 | |
Cigna
| Professional | $1,955.49 | $2,580.25 | $3,028.88 | |
United
| Professional | $1,666.21 | $2,116.79 | $4,803.33 |