| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,122.96 | $2,122.96 | $2,271.12 | |
Cigna
| Professional | $1,847.94 | $2,403.17 | $2,823.53 | |
United
| Professional | $1,812.45 | $2,249.53 | $4,977.60 |