| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,421.78 | $2,555.19 | $2,555.19 | |
Cigna
| Professional | $2,246.21 | $3,491.48 | $4,708.08 | |
United
| Professional | $2,002.00 | $3,103.93 | $6,103.45 |