| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $15,648.00 | |
Aetna
| Professional | $1,175.08 | $1,175.08 | $1,274.64 | |
Cigna
| Professional | $1,042.09 | $1,351.08 | $1,566.34 | |
United
| Professional | $1,093.72 | $1,278.26 | $2,802.22 |