| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,104.73 | $1,104.73 | $1,429.36 | |
Cigna
| Professional | $1,135.42 | $1,508.35 | $1,738.66 | |
United
| Professional | $1,204.17 | $1,459.45 | $3,085.22 |