| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,505.83 | $2,505.83 | $2,723.39 | |
Cigna
| Professional | $2,047.23 | $3,039.16 | $7,052.87 | |
United
| Professional | $2,377.02 | $4,325.82 | $5,956.58 |