| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,126.32 | $1,126.32 | $1,205.65 | |
Cigna
| Professional | $980.89 | $1,345.07 | $1,600.09 | |
United
| Professional | $1,053.17 | $1,190.97 | $2,381.94 |