| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,982.95 | $2,095.40 | $2,095.40 | |
Cigna
| Professional | $2,006.99 | $2,850.67 | $3,860.88 | |
United
| Professional | $1,955.20 | $2,534.52 | $4,983.79 |