| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,466.89 | $1,466.89 | $1,582.75 | |
Cigna
| Professional | $1,297.92 | $1,676.95 | $2,014.78 | |
United
| Professional | $1,339.79 | $1,566.67 | $3,432.69 |