| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,247.19 | $1,273.83 | $1,277.20 | |
Cigna
| Professional | $1,142.31 | $1,546.15 | $2,206.30 | |
United
| Professional | $1,211.00 | $1,451.26 | $2,853.71 |