| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,120.42 | $1,142.94 | $1,164.83 | |
Cigna
| Professional | $1,022.00 | $1,411.11 | $1,979.57 | |
United
| Professional | $1,083.19 | $1,401.77 | $2,570.40 |