| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,098.16 | $1,098.16 | $1,177.68 | |
Cigna
| Professional | $959.43 | $1,279.72 | $1,697.25 | |
United
| Facility | $150.00 | $150.00 | $150.00 | |
United
| Professional | $1,020.37 | $1,173.58 | $2,318.91 |