| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,191.99 | $1,191.99 | $1,364.83 | |
Cigna
| Professional | $1,211.13 | $1,652.28 | $2,346.06 | |
United
| Professional | $1,192.95 | $1,548.92 | $3,045.74 |