| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,879.60 | $1,879.60 | $2,009.95 | |
Cigna
| Professional | $1,633.86 | $2,243.17 | $2,539.69 | |
United
| Professional | $1,716.86 | $2,043.02 | $4,398.77 |