| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,166.71 | $1,166.71 | $1,336.82 | |
Cigna
| Professional | $1,184.73 | $1,633.96 | $2,296.29 | |
United
| Professional | $1,169.38 | $1,520.31 | $2,989.48 |