| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,624.90 | $1,624.90 | $1,737.86 | |
Cigna
| Professional | $1,413.57 | $1,834.16 | $2,060.16 | |
United
| Professional | $1,483.71 | $1,791.39 | $3,801.42 |