| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,623.51 | $1,623.51 | $2,135.94 | |
Cigna
| Professional | $1,751.32 | $2,257.48 | $2,607.17 | |
United
| Professional | $1,758.34 | $2,090.67 | $4,631.95 |