| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,274.58 | $1,274.58 | $1,689.61 | |
Cigna
| Professional | $1,385.07 | $1,783.53 | $2,089.27 | |
United
| Professional | $1,412.52 | $1,654.10 | $3,660.08 |