| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,429.97 | $1,429.97 | $1,542.68 | |
Cigna
| Professional | $1,221.60 | $1,627.51 | $1,893.98 | |
United
| Professional | $1,140.08 | $1,474.85 | $3,331.29 |