| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $1,569.10 | $1,569.10 | $1,688.11 | |
Cigna
| Professional | $1,535.89 | $2,067.90 | $2,576.53 | |
United
| Professional | $1,514.07 | $1,959.39 | $3,899.89 |