| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,203.03 | $2,203.03 | $2,369.66 | |
Cigna
| Professional | $1,939.02 | $2,507.23 | $2,894.30 | |
United
| Professional | $1,949.02 | $2,313.67 | $5,156.02 |