| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,149.33 | $2,271.94 | $2,271.94 | |
Cigna
| Professional | $2,126.44 | $3,084.04 | $4,186.17 | |
United
| Professional | $2,046.03 | $2,647.80 | $5,401.44 |