| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,899.70 | $3,063.01 | $3,063.01 | |
Cigna
| Professional | $2,864.08 | $4,160.79 | $5,643.76 | |
United
| Professional | $2,908.35 | $3,584.88 | $7,305.58 |