| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,893.81 | $1,893.81 | $2,053.19 | |
Cigna
| Professional | $1,680.74 | $2,168.63 | $2,550.62 | |
United
| Professional | $1,622.65 | $1,963.25 | $4,457.46 |