| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,542.66 | $1,542.66 | $1,663.64 | |
Cigna
| Professional | $1,365.35 | $1,755.70 | $2,054.71 | |
United
| Professional | $1,321.84 | $1,621.01 | $3,598.45 |