| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,200.50 | $1,224.83 | $1,224.83 | |
Cigna
| Professional | $1,095.00 | $1,497.25 | $2,121.41 | |
United
| Professional | $1,158.64 | $1,401.90 | $2,756.64 |