| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $7,265.00 | |
Aetna
| Professional | $1,209.21 | $1,234.79 | $1,234.79 | |
Cigna
| Professional | $1,103.74 | $1,506.91 | $2,138.66 | |
United
| Professional | $1,085.27 | $1,404.47 | $2,775.09 |