| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,578.65 | $2,578.65 | $2,793.31 | |
Cigna
| Professional | $1,319.43 | $2,937.34 | $3,125.13 | |
United
| Professional | $1,278.52 | $2,349.94 | $6,020.79 |