| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,802.79 | $1,844.45 | $1,844.45 | |
Cigna
| Professional | $1,640.99 | $2,255.02 | $3,194.59 | |
United
| Professional | $1,575.92 | $2,110.44 | $4,157.64 |