| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,234.53 | $2,234.53 | $2,404.37 | |
Cigna
| Professional | $1,963.95 | $2,543.92 | $3,034.60 | |
United
| Professional | $1,889.46 | $2,350.98 | $5,231.54 |