| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,457.13 | $2,457.13 | $2,661.38 | |
Cigna
| Professional | $1,230.30 | $2,798.32 | $2,977.89 | |
United
| Professional | $1,378.53 | $1,608.90 | $5,183.24 |