| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $15,648.00 | |
Aetna
| Professional | $1,550.89 | $1,550.89 | $2,037.80 | |
Cigna
| Professional | $1,667.65 | $2,156.60 | $2,497.19 | |
United
| Professional | $1,730.75 | $1,961.03 | $4,008.05 |