| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,629.08 | $1,662.62 | $1,662.62 | |
Cigna
| Professional | $1,484.20 | $2,018.50 | $2,879.66 | |
United
| Professional | $1,509.88 | $1,953.96 | $3,742.47 |