| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,043.01 | $1,043.01 | $1,117.93 | |
Cigna
| Professional | $910.45 | $1,263.04 | $1,408.92 | |
United
| Professional | $951.73 | $1,192.17 | $2,438.42 |