| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,504.30 | $2,504.30 | $2,695.51 | |
Cigna
| Professional | $2,204.77 | $2,850.84 | $3,348.26 | |
United
| Professional | $2,159.17 | $2,559.15 | $5,865.84 |