| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,779.01 | $1,779.01 | $2,377.79 | |
Cigna
| Professional | $1,939.04 | $2,512.23 | $2,929.36 | |
United
| Professional | $2,014.37 | $2,379.87 | $4,664.85 |