| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,078.46 | $1,117.64 | $1,117.64 | |
Cigna
| Professional | $987.41 | $1,329.35 | $1,935.75 | |
United
| Professional | $933.34 | $1,207.85 | $2,429.11 |