| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,061.18 | $1,061.18 | $1,169.94 | |
Cigna
| Professional | $1,056.36 | $1,476.16 | $1,742.51 | |
United
| Professional | $1,036.50 | $1,353.75 | $2,661.96 |