| 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 | $2,118.88 | $2,422.59 | |
United
| Professional | $1,639.09 | $1,907.19 | $4,217.68 |