| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,026.84 | $1,047.93 | $1,047.93 | |
Cigna
| Professional | $938.56 | $1,278.23 | $1,815.01 | |
United
| Professional | $908.18 | $1,196.57 | $2,355.79 |