| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,225.52 | $2,225.52 | $2,394.25 | |
Cigna
| Professional | $1,959.12 | $2,667.52 | $3,134.13 | |
United
| Professional | $2,013.39 | $2,353.86 | $5,208.43 |