| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,375.78 | $1,404.33 | $1,418.94 | |
Cigna
| Professional | $1,255.27 | $1,728.93 | $2,432.30 | |
United
| Professional | $1,339.87 | $1,606.40 | $3,158.76 |