| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,145.21 | $2,145.21 | $2,308.75 | |
Cigna
| Professional | $1,873.94 | $2,442.67 | $2,867.20 | |
United
| Professional | $1,877.22 | $2,269.94 | $5,022.75 |