| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,882.01 | $1,920.44 | $1,920.44 | |
Cigna
| Professional | $1,715.06 | $2,348.29 | $3,326.19 | |
United
| Professional | $1,618.49 | $2,160.17 | $4,323.64 |