| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,093.02 | $2,136.55 | $2,136.55 | |
Cigna
| Professional | $1,905.93 | $2,614.21 | $3,700.51 | |
United
| Professional | $1,780.07 | $2,393.09 | $4,812.87 |