| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $5,418.52 | $5,418.52 | $5,842.37 | |
Cigna
| Professional | $5,251.05 | $7,454.59 | $17,845.78 | |
United
| Professional | $5,038.50 | $6,957.64 | $13,681.26 |