| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,214.77 | $1,214.77 | $1,298.59 | |
Cigna
| Professional | $1,056.22 | $1,374.83 | $1,620.95 | |
United
| Professional | $1,050.81 | $1,192.70 | $2,843.93 |