| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,749.91 | $1,848.49 | $1,848.49 | |
Cigna
| Professional | $1,698.24 | $2,511.59 | $3,405.94 | |
United
| Professional | $1,623.42 | $2,233.06 | $4,391.00 |