| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,801.74 | $1,801.74 | $1,925.97 | |
Cigna
| Professional | $1,565.77 | $2,093.27 | $2,721.61 | |
United
| Professional | $1,615.62 | $1,906.10 | $4,217.68 |