| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,664.93 | $1,664.93 | $1,779.21 | |
Cigna
| Professional | $1,446.83 | $1,981.12 | $2,265.23 | |
United
| Professional | $1,485.63 | $1,796.17 | $3,894.52 |