| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,174.95 | $1,174.95 | $1,263.55 | |
Cigna
| Professional | $1,127.20 | $1,600.14 | $1,929.32 | |
United
| Professional | $1,054.97 | $1,482.79 | $2,915.70 |