| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,788.21 | $1,823.75 | $1,823.75 | |
Cigna
| Professional | $1,629.06 | $2,233.52 | $3,158.73 | |
United
| Professional | $1,804.91 | $2,641.82 | $4,109.51 |