| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,528.16 | $1,528.16 | $2,151.03 | |
Cigna
| Professional | $1,647.63 | $2,275.27 | $2,670.42 | |
United
| Professional | $1,623.36 | $1,967.56 | $4,677.14 |