| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,159.15 | $2,159.15 | $2,325.77 | |
Cigna
| Professional | $1,870.93 | $2,456.98 | $2,863.90 | |
United
| Professional | $1,936.92 | $2,250.75 | $5,041.74 |