| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,089.78 | $2,089.78 | $2,233.53 | |
Cigna
| Professional | $1,815.08 | $2,464.14 | $2,823.53 | |
United
| Professional | $1,909.18 | $2,236.83 | $4,891.51 |