| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,347.31 | $1,347.31 | $1,544.63 | |
Cigna
| Professional | $1,368.16 | $1,872.55 | $2,651.74 | |
United
| Professional | $1,475.04 | $1,753.05 | $3,507.86 |