| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,678.92 | $1,678.92 | $1,794.45 | |
Cigna
| Professional | $1,459.17 | $1,985.65 | $2,268.26 | |
United
| Professional | $1,533.22 | $1,794.08 | $3,550.62 |