| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,149.94 | $2,149.94 | $2,313.64 | |
Cigna
| Professional | $1,891.75 | $2,447.84 | $3,034.02 | |
United
| Professional | $1,734.84 | $2,245.09 | $5,038.16 |