| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,235.18 | $1,235.18 | $1,321.09 | |
Cigna
| Professional | $1,074.47 | $1,479.33 | $1,893.10 | |
United
| Professional | $1,128.35 | $1,367.91 | $2,890.98 |