| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,361.81 | $2,361.81 | $2,557.07 | |
Cigna
| Professional | $1,397.74 | $2,690.34 | $2,864.77 | |
United
| Professional | $1,344.64 | $1,740.12 | $5,513.16 |