| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,585.06 | $1,626.73 | $1,626.73 | |
Cigna
| Professional | $1,324.79 | $1,776.40 | $2,817.50 | |
United
| Professional | $1,304.67 | $1,638.14 | $3,630.86 |