| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,448.71 | $1,448.71 | $1,550.74 | |
Cigna
| Professional | $1,261.65 | $1,715.95 | $1,956.64 | |
United
| Professional | $1,322.19 | $1,553.12 | $3,387.59 |