| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,540.54 | $1,540.54 | $1,648.14 | |
Cigna
| Professional | $1,340.62 | $1,831.06 | $2,082.26 | |
United
| Professional | $1,407.09 | $1,662.02 | $3,605.12 |