| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,088.44 | $1,088.44 | $1,183.40 | |
Cigna
| Professional | $956.93 | $1,245.55 | $1,456.50 | |
United
| Professional | $894.97 | $1,145.78 | $2,548.71 |