| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,982.60 | $1,982.60 | $2,135.79 | |
Cigna
| Professional | $1,751.68 | $2,256.54 | $2,642.80 | |
United
| Professional | $1,779.26 | $2,087.94 | $4,183.59 |