| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,090.34 | $1,090.34 | $1,168.43 | |
Cigna
| Professional | $951.81 | $1,311.58 | $1,473.70 | |
United
| Professional | $995.45 | $1,206.34 | $2,305.25 |