| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $1,917.83 | $1,917.83 | $2,077.58 | |
Cigna
| Professional | $1,589.04 | $2,145.23 | $2,304.87 | |
United
| Professional | $1,697.46 | $2,011.71 | $4,480.17 |