| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,198.87 | $2,198.87 | $2,368.21 | |
Cigna
| Professional | $1,908.17 | $2,501.94 | $2,939.79 | |
United
| Professional | $1,844.20 | $2,316.32 | $5,138.93 |