| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,635.08 | $1,668.27 | $1,668.27 | |
Cigna
| Professional | $1,490.65 | $2,055.69 | $2,889.44 | |
United
| Professional | $1,596.39 | $1,890.31 | $3,843.80 |