| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,289.01 | $1,289.01 | $1,386.55 | |
Cigna
| Professional | $1,246.52 | $1,688.65 | $2,116.61 | |
United
| Professional | $1,256.09 | $1,638.47 | $3,253.43 |