| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,289.23 | $1,289.23 | $1,379.85 | |
Cigna
| Professional | $1,122.33 | $1,522.13 | $1,801.84 | |
United
| Professional | $1,190.32 | $1,420.68 | $3,143.58 |