| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,816.66 | $1,816.66 | $1,956.89 | |
Cigna
| Professional | $1,605.30 | $2,067.67 | $2,546.03 | |
United
| Professional | $1,599.15 | $1,916.27 | $4,240.17 |