| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,382.08 | $2,382.08 | $2,563.44 | |
Cigna
| Professional | $2,099.14 | $2,710.08 | $3,133.90 | |
United
| Professional | $2,173.58 | $2,667.39 | $5,568.94 |