| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,353.85 | $1,353.85 | $1,449.05 | |
Cigna
| Professional | $1,179.24 | $1,595.16 | $1,828.83 | |
United
| Professional | $1,234.86 | $1,437.71 | $3,163.86 |