| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $15,648.00 | |
Aetna
| Professional | $2,879.69 | $2,879.69 | $3,099.61 | |
Cigna
| Professional | $2,395.12 | $3,290.16 | $3,841.69 | |
United
| Professional | $1,886.70 | $2,693.81 | $6,768.05 |