| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,393.28 | $2,393.28 | $2,573.80 | |
Cigna
| Professional | $2,086.05 | $2,724.87 | $3,386.92 | |
United
| Professional | $2,016.17 | $2,235.90 | $5,612.71 |