| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,949.13 | $1,949.13 | $2,083.96 | |
Cigna
| Professional | $1,693.88 | $2,200.73 | $2,388.50 | |
United
| Professional | $1,781.68 | $2,152.69 | $4,564.85 |