| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,140.28 | $1,162.77 | $1,162.77 | |
Cigna
| Professional | $1,040.61 | $1,419.78 | $2,013.91 | |
United
| Professional | $1,048.19 | $1,356.49 | $2,616.17 |