| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $4,571.28 | $4,571.28 | $4,938.35 | |
Cigna
| Professional | $1,534.59 | $5,283.37 | $6,149.73 | |
United
| Professional | $1,532.66 | $1,901.06 | $10,881.68 |