| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,598.31 | $1,598.31 | $1,714.43 | |
Cigna
| Professional | $1,398.08 | $1,841.45 | $2,152.38 | |
United
| Professional | $1,464.46 | $1,877.10 | $3,752.11 |