| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,329.30 | $1,329.30 | $1,420.93 | |
Cigna
| Professional | $1,155.64 | $1,525.26 | $1,798.83 | |
United
| Professional | $1,213.99 | $1,451.33 | $3,110.36 |