| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,506.08 | $1,506.08 | $1,617.11 | |
Cigna
| Professional | $1,509.95 | $2,172.79 | $2,582.04 | |
United
| Professional | $1,448.70 | $2,022.97 | $3,977.89 |