| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,024.17 | $1,048.23 | $1,048.23 | |
Cigna
| Professional | $935.57 | $1,303.50 | $1,815.53 | |
United
| Professional | $922.85 | $1,194.27 | $2,356.11 |