| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $15,648.00 | |
Aetna
| Professional | $1,852.38 | $1,852.38 | $1,981.76 | |
Cigna
| Professional | $1,611.00 | $2,216.37 | $2,502.80 | |
United
| Professional | $1,717.75 | $2,044.30 | $4,572.49 |