| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,758.29 | $1,758.29 | $1,880.47 | |
Cigna
| Professional | $1,528.89 | $2,066.52 | $2,376.09 | |
United
| Professional | $1,605.98 | $1,876.28 | $4,114.70 |