| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,249.01 | $1,249.01 | $1,651.21 | |
Cigna
| Professional | $1,351.20 | $1,743.65 | $2,040.63 | |
United
| Professional | $1,263.00 | $1,608.75 | $3,573.57 |