| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $3,012.31 | $3,012.31 | $3,224.21 | |
Cigna
| Professional | $1,923.83 | $3,431.99 | $4,025.78 | |
United
| Professional | $1,828.91 | $2,366.83 | $7,066.22 |