| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,081.48 | $2,081.48 | $2,243.12 | |
Cigna
| Professional | $1,836.91 | $2,370.77 | $2,919.16 | |
United
| Professional | $1,901.24 | $2,233.73 | $4,871.18 |