| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,063.52 | $1,063.52 | $1,139.57 | |
Cigna
| Professional | $927.88 | $1,279.27 | $1,525.72 | |
United
| Professional | $970.43 | $1,181.29 | $2,486.33 |