| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,635.04 | $1,729.65 | $1,729.65 | |
Cigna
| Professional | $1,447.24 | $2,421.82 | $3,186.97 | |
United
| Professional | $1,386.75 | $1,967.68 | $4,097.14 |