| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $1,146.19 | $1,169.05 | $1,169.05 | |
Cigna
| Professional | $1,046.10 | $1,428.15 | $2,024.80 | |
United
| Professional | $1,037.46 | $1,342.59 | $2,631.22 |