| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,587.16 | $2,587.16 | $2,783.48 | |
Cigna
| Professional | $2,278.30 | $2,942.46 | $3,634.63 | |
United
| Professional | $2,214.79 | $2,615.62 | $6,049.46 |