| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,089.49 | $1,089.49 | $1,167.33 | |
Cigna
| Professional | $950.48 | $1,314.72 | $1,470.81 | |
United
| Professional | $994.35 | $1,247.91 | $2,547.62 |