| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,343.66 | $1,343.66 | $1,437.42 | |
Cigna
| Professional | $1,169.82 | $1,590.82 | $1,870.14 | |
United
| Professional | $1,225.17 | $1,437.22 | $3,139.01 |