| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $3,493.98 | $3,493.98 | $4,044.01 | |
Cigna
| Professional | $3,482.01 | $4,747.22 | $6,876.79 | |
United
| Professional | $3,733.48 | $5,027.78 | $8,500.54 |