| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,660.15 | $1,660.15 | $1,846.37 | |
Cigna
| Professional | $1,388.47 | $1,535.86 | $4,781.60 | |
United
| Professional | $1,305.91 | $1,940.10 | $4,970.74 |