| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,095.49 | $1,116.97 | $1,116.97 | |
Cigna
| Professional | $999.97 | $1,364.02 | $1,934.59 | |
United
| Professional | $993.08 | $1,285.16 | $2,515.19 |