| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,258.99 | $1,258.99 | $1,346.42 | |
Cigna
| Professional | $1,095.00 | $1,493.53 | $1,703.27 | |
United
| Professional | $1,150.19 | $1,356.26 | $2,946.92 |