| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,346.55 | $2,478.42 | $2,478.42 | |
Cigna
| Professional | $2,347.35 | $3,370.70 | $4,566.64 | |
United
| Professional | $2,408.66 | $3,222.71 | $6,004.72 |