| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $15,648.00 | |
Aetna
| Professional | $3,354.19 | $3,354.19 | $3,633.95 | |
Cigna
| Professional | $2,844.52 | $3,845.74 | $4,519.89 | |
United
| Professional | $2,354.90 | $3,153.14 | $7,917.29 |