| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,258.31 | $1,258.31 | $1,513.68 | |
Cigna
| Professional | $1,243.08 | $1,597.82 | $1,945.49 | |
United
| Professional | $1,242.84 | $1,478.90 | $3,272.39 |