| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,441.72 | $1,441.72 | $1,548.60 | |
Cigna
| Professional | $1,262.55 | $1,659.61 | $1,958.11 | |
United
| Professional | $1,294.41 | $1,576.14 | $3,055.51 |