| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,730.60 | $1,827.86 | $1,827.86 | |
Cigna
| Professional | $1,687.46 | $2,484.58 | $3,367.93 | |
United
| Professional | $1,595.08 | $2,086.17 | $4,343.54 |