| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,453.74 | $1,486.42 | $1,486.42 | |
Cigna
| Professional | $1,325.57 | $1,815.46 | $2,574.48 | |
United
| Professional | $1,303.93 | $1,698.72 | $3,340.30 |