| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,062.44 | $1,062.44 | $1,137.29 | |
Cigna
| Professional | $1,062.99 | $1,472.21 | $1,842.54 | |
United
| Professional | $1,079.63 | $1,397.17 | $2,657.55 |