| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,955.54 | $1,955.54 | $2,106.91 | |
Cigna
| Professional | $1,727.65 | $2,225.66 | $2,571.64 | |
United
| Professional | $1,716.63 | $2,040.11 | $4,566.21 |