| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,395.10 | $1,395.10 | $1,821.99 | |
Cigna
| Professional | $1,490.14 | $1,927.66 | $2,243.00 | |
United
| Professional | $1,452.57 | $1,787.21 | $3,959.34 |