| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,280.24 | $1,307.65 | $1,307.65 | |
Cigna
| Professional | $1,168.92 | $1,603.92 | $2,264.84 | |
United
| Professional | $1,303.86 | $1,474.09 | $2,968.70 |