| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,634.77 | $1,634.77 | $2,146.10 | |
Cigna
| Professional | $1,726.57 | $2,268.77 | $2,657.26 | |
United
| Professional | $1,765.36 | $2,053.50 | $4,214.03 |