| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,366.20 | $1,366.20 | $1,474.56 | |
Cigna
| Professional | $1,192.96 | $1,555.70 | $1,894.27 | |
United
| Professional | $1,243.24 | $1,821.36 | $3,185.30 |