| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,465.25 | $1,465.25 | $1,567.56 | |
Cigna
| Professional | $1,275.10 | $1,730.15 | $2,220.03 | |
United
| Professional | $1,337.76 | $1,589.05 | $3,427.49 |