| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,255.19 | $2,255.19 | $2,427.67 | |
Cigna
| Professional | $1,687.27 | $2,567.09 | $3,087.85 | |
United
| Professional | $1,721.83 | $2,070.54 | $5,279.49 |