| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,392.54 | $1,473.37 | $1,473.37 | |
Cigna
| Professional | $1,361.26 | $1,987.01 | $2,714.77 | |
United
| Professional | $1,295.66 | $1,900.72 | $3,547.39 |