| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,308.97 | $1,342.54 | $1,342.54 | |
Cigna
| Professional | $1,273.46 | $1,754.31 | $2,086.00 | |
United
| Professional | $1,244.14 | $1,610.06 | $3,171.28 |