| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $3,688.57 | $3,688.57 | $4,269.27 | |
Cigna
| Professional | $3,675.92 | $5,011.59 | $7,259.77 | |
United
| Professional | $3,941.38 | $4,987.35 | $8,973.90 |