| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,826.98 | $1,932.63 | $1,932.63 | |
Cigna
| Professional | $1,777.63 | $2,623.51 | $3,560.97 | |
United
| Professional | $1,696.12 | $2,332.63 | $4,586.79 |