| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,167.69 | $2,167.69 | $2,332.55 | |
Cigna
| Professional | $1,908.80 | $2,581.67 | $2,882.20 | |
United
| Professional | $1,980.86 | $2,272.05 | $4,587.26 |