| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,088.91 | $1,088.91 | $1,167.47 | |
Cigna
| Professional | $951.69 | $1,292.41 | $1,471.38 | |
United
| Professional | $1,014.31 | $1,325.70 | $2,541.78 |