| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,267.53 | $1,267.53 | $1,368.98 | |
Cigna
| Professional | $1,118.79 | $1,444.75 | $1,766.43 | |
United
| Professional | $1,050.68 | $1,336.05 | $2,963.32 |