| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,459.69 | $1,459.69 | $1,561.25 | |
Cigna
| Professional | $1,270.17 | $1,727.97 | $1,971.59 | |
United
| Professional | $1,331.89 | $1,561.39 | $3,412.44 |