| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $15,648.00 | |
Aetna
| Professional | $1,375.57 | $1,375.57 | $1,472.86 | |
Cigna
| Professional | $1,198.71 | $1,602.07 | $1,854.78 | |
United
| Professional | $1,231.10 | $1,451.92 | $3,212.71 |