| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,679.97 | $1,679.97 | $1,810.51 | |
Cigna
| Professional | $1,485.96 | $1,911.57 | $2,225.23 | |
United
| Professional | $1,405.25 | $1,770.51 | $3,541.01 |