| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,223.83 | $1,249.16 | $1,249.16 | |
Cigna
| Professional | $1,119.22 | $1,521.99 | $2,163.54 | |
United
| Professional | $1,057.86 | $1,398.93 | $2,804.37 |