| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $15,648.00 | |
Aetna
| Professional | $1,961.58 | $1,961.58 | $2,428.04 | |
Cigna
| Professional | $1,985.57 | $2,569.94 | $2,991.48 | |
United
| Professional | $2,064.28 | $2,512.73 | $5,288.91 |