| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,086.20 | $1,086.20 | $1,170.70 | |
Cigna
| Professional | $960.50 | $1,213.83 | $1,332.79 | |
United
| Professional | $948.01 | $1,136.74 | $2,538.48 |