| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,104.31 | $2,104.31 | $2,264.38 | |
Cigna
| Professional | $1,845.48 | $2,395.71 | $2,813.12 | |
United
| Professional | $1,907.50 | $2,124.51 | $4,925.93 |