| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,681.75 | $1,681.75 | $2,078.92 | |
Cigna
| Professional | $1,701.96 | $2,199.98 | $2,567.46 | |
United
| Professional | $1,689.45 | $2,043.50 | $4,521.71 |