| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,894.00 | $1,894.00 | $2,039.59 | |
Cigna
| Professional | $1,671.41 | $2,154.26 | $2,488.73 | |
United
| Professional | $1,631.77 | $1,970.10 | $4,418.71 |