| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,264.72 | $1,264.72 | $1,286.58 | |
Cigna
| Professional | $1,172.50 | $1,637.62 | $1,944.17 | |
United
| Professional | $1,102.72 | $1,427.05 | $2,981.37 |