| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,413.94 | $1,453.68 | $1,453.68 | |
Cigna
| Professional | $1,238.65 | $1,696.02 | $2,517.78 | |
United
| Professional | $1,169.24 | $1,487.13 | $3,226.18 |