| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,795.27 | $2,950.18 | $2,950.18 | |
Cigna
| Professional | $2,651.19 | $4,024.11 | $5,435.86 | |
United
| Professional | $2,672.65 | $3,588.09 | $7,055.49 |