| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,207.31 | $1,221.65 | $1,221.65 | |
Cigna
| Professional | $1,076.08 | $1,489.52 | $2,115.90 | |
United
| Professional | $1,142.59 | $1,394.89 | $2,742.86 |