| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,302.43 | $1,302.43 | $1,404.78 | |
Cigna
| Professional | $1,152.43 | $1,483.22 | $1,709.84 | |
United
| Professional | $1,146.94 | $1,372.10 | $3,036.07 |