| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,312.76 | $1,389.29 | $1,389.29 | |
Cigna
| Professional | $1,295.63 | $1,886.09 | $2,559.84 | |
United
| Professional | $1,380.94 | $1,581.38 | $3,292.39 |