| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,887.70 | $1,887.70 | $2,032.12 | |
Cigna
| Professional | $1,663.00 | $2,171.39 | $2,489.23 | |
United
| Professional | $1,725.02 | $2,007.15 | $4,421.04 |