| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,117.77 | $1,184.98 | $1,184.98 | |
Cigna
| Professional | $1,070.90 | $1,591.57 | $2,183.39 | |
United
| Professional | $1,123.00 | $1,261.00 | $2,788.80 |