| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,700.66 | $1,700.66 | $1,828.97 | |
Cigna
| Professional | $1,497.99 | $1,938.03 | $2,236.35 | |
United
| Professional | $1,552.81 | $1,870.57 | $3,595.99 |