| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,311.12 | $2,311.12 | $2,486.21 | |
Cigna
| Professional | $2,034.13 | $2,772.90 | $3,256.22 | |
United
| Professional | $2,112.64 | $2,461.01 | $4,892.43 |