| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,037.36 | $1,037.36 | $1,113.68 | |
Cigna
| Professional | $908.29 | $1,217.35 | $1,599.64 | |
United
| Professional | $944.97 | $1,129.09 | $2,421.10 |