| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,266.58 | $1,266.58 | $1,673.29 | |
Cigna
| Professional | $1,374.03 | $1,765.63 | $2,053.51 | |
United
| Professional | $1,362.90 | $1,629.81 | $3,616.49 |