| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,464.72 | $1,464.72 | $1,565.44 | |
Cigna
| Professional | $1,273.92 | $1,652.20 | $1,995.61 | |
United
| Professional | $1,271.71 | $1,546.67 | $3,093.33 |