| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,392.44 | $2,392.44 | $2,591.82 | |
Cigna
| Professional | $1,429.94 | $2,724.11 | $2,905.38 | |
United
| Professional | $1,364.90 | $1,766.35 | $5,582.48 |