| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $15,648.00 | |
Aetna
| Professional | $2,854.49 | $2,854.49 | $3,092.14 | |
Cigna
| Professional | $2,513.71 | $3,268.23 | $3,834.25 | |
United
| Professional | $2,290.54 | $2,677.28 | $6,725.17 |