| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,306.52 | $1,306.52 | $1,819.47 | |
Cigna
| Professional | $1,469.99 | $1,922.04 | $2,251.52 | |
United
| Professional | $1,499.62 | $1,775.11 | $3,946.17 |