| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,893.50 | $1,893.50 | $2,431.36 | |
Cigna
| Professional | $1,989.35 | $2,572.59 | $3,018.41 | |
United
| Professional | $2,065.12 | $2,505.04 | $4,782.38 |