| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,255.03 | $1,255.03 | $1,343.41 | |
Cigna
| Professional | $1,093.77 | $1,492.32 | $1,669.67 | |
United
| Professional | $1,144.09 | $1,382.54 | $2,931.31 |