| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,109.22 | $1,109.22 | $1,270.52 | |
Cigna
| Professional | $1,127.49 | $1,568.61 | $2,183.14 | |
United
| Professional | $1,154.16 | $1,440.13 | $2,831.82 |