| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,935.24 | $2,046.05 | $2,046.05 | |
Cigna
| Professional | $1,913.05 | $2,781.38 | $3,769.95 | |
United
| Professional | $1,824.27 | $2,473.02 | $4,862.85 |