| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,008.47 | $1,008.47 | $1,079.90 | |
Cigna
| Professional | $879.16 | $1,140.47 | $1,418.70 | |
United
| Professional | $881.73 | $984.86 | $2,359.28 |