| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,197.60 | $1,197.60 | $1,291.93 | |
Cigna
| Professional | $1,044.02 | $1,362.89 | $1,593.05 | |
United
| Professional | $963.46 | $1,281.81 | $2,519.35 |