| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,835.00 | $6,835.00 | $6,907.00 | |
Aetna
| Professional | $1,136.56 | $1,158.92 | $1,158.92 | |
Cigna
| Professional | $1,036.60 | $1,415.54 | $2,007.25 | |
United
| Professional | $1,021.06 | $1,321.38 | $2,607.50 |