| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,426.77 | $1,426.77 | $2,051.15 | |
Cigna
| Professional | $1,532.83 | $2,168.44 | $2,528.60 | |
United
| Professional | $1,651.34 | $1,772.29 | $4,456.02 |