| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,345.23 | $1,345.23 | $1,438.57 | |
Cigna
| Professional | $1,169.88 | $1,518.01 | $1,819.28 | |
United
| Professional | $1,040.72 | $1,257.96 | $3,146.72 |