| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $1,262.53 | $1,262.53 | $1,446.18 | |
Cigna
| Professional | $1,280.89 | $1,755.51 | $2,484.89 | |
United
| Professional | $1,412.31 | $1,749.19 | $3,230.44 |