| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,046.17 | $2,103.37 | $2,103.37 | |
Cigna
| Professional | $1,668.30 | $2,536.23 | $3,643.04 | |
United
| Professional | $1,458.96 | $2,204.96 | $4,626.01 |