| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,505.50 | $1,505.50 | $1,634.64 | |
Cigna
| Professional | $1,278.85 | $1,662.45 | $1,856.56 | |
United
| Professional | $1,199.88 | $1,423.37 | $3,544.80 |