| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,958.75 | $2,070.32 | $2,070.32 | |
Cigna
| Professional | $1,912.90 | $2,805.87 | $3,814.68 | |
United
| Professional | $1,823.20 | $2,681.19 | $4,999.08 |