| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,452.87 | $1,452.87 | $1,566.89 | |
Cigna
| Professional | $1,207.58 | $1,653.80 | $1,981.65 | |
United
| Professional | $1,189.33 | $1,486.23 | $3,385.50 |