| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,711.32 | $1,711.32 | $1,856.18 | |
Cigna
| Professional | $1,520.43 | $1,960.05 | $2,289.23 | |
United
| Professional | $1,467.47 | $1,764.86 | $4,025.84 |