| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,790.05 | $1,790.05 | $1,914.65 | |
Cigna
| Professional | $1,556.61 | $2,122.42 | $2,579.65 | |
United
| Professional | $1,635.79 | $1,924.91 | $4,191.06 |