| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,176.33 | $1,176.33 | $1,566.89 | |
Cigna
| Professional | $1,251.81 | $1,653.80 | $1,900.20 | |
United
| Professional | $1,236.81 | $1,532.90 | $3,060.02 |