| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,597.00 | $1,597.00 | $1,733.32 | |
Cigna
| Professional | $1,416.32 | $1,826.87 | $2,125.62 | |
United
| Professional | $1,373.30 | $1,679.22 | $3,747.29 |