| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,705.17 | $1,705.17 | $1,838.31 | |
Cigna
| Professional | $1,507.82 | $1,940.79 | $2,254.46 | |
United
| Professional | $1,553.58 | $1,857.85 | $3,597.77 |