| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $1,072.89 | $1,072.89 | $1,148.70 | |
Cigna
| Professional | $1,074.00 | $1,445.19 | $1,814.22 | |
United
| Professional | $1,030.09 | $1,362.28 | $2,683.70 |