| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,152.82 | $1,152.82 | $1,233.92 | |
Cigna
| Professional | $925.77 | $1,300.48 | $1,557.39 | |
United
| Professional | $911.51 | $1,132.14 | $2,691.54 |