| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $3,770.77 | $3,770.77 | $4,054.18 | |
Cigna
| Professional | $3,312.75 | $4,512.93 | $5,029.18 | |
United
| Professional | $3,526.86 | $4,360.97 | $8,853.75 |