| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,993.13 | $2,107.12 | $2,107.12 | |
Cigna
| Professional | $1,962.49 | $2,856.34 | $3,882.48 | |
United
| Professional | $1,882.33 | $2,724.11 | $5,088.38 |