| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,559.79 | $1,559.79 | $1,693.17 | |
Cigna
| Professional | $1,238.26 | $1,734.03 | $1,878.41 | |
United
| Professional | $1,172.33 | $1,433.52 | $3,621.84 |