| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,555.29 | $1,555.29 | $1,664.73 | |
Cigna
| Professional | $1,353.55 | $1,792.93 | $2,108.48 | |
United
| Professional | $1,209.80 | $1,497.54 | $3,646.72 |