| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,943.51 | $1,943.51 | $2,077.52 | |
Cigna
| Professional | $1,688.63 | $2,293.08 | $2,625.58 | |
United
| Professional | $1,775.08 | $2,078.96 | $4,547.93 |