| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $15,648.00 | |
Aetna
| Professional | $3,226.45 | $3,226.45 | $3,520.26 | |
Cigna
| Professional | $2,809.05 | $3,707.87 | $4,349.99 | |
United
| Professional | $2,463.03 | $3,034.77 | $7,625.97 |