| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,579.14 | $1,579.14 | $1,714.08 | |
Cigna
| Professional | $1,391.89 | $1,806.51 | $2,113.98 | |
United
| Professional | $1,284.83 | $1,644.29 | $3,707.08 |