| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,393.15 | $1,393.15 | $1,495.70 | |
Cigna
| Professional | $1,222.73 | $1,581.92 | $1,853.24 | |
United
| Professional | $1,271.72 | $1,422.78 | $2,945.03 |