| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,102.29 | $2,220.90 | $2,220.90 | |
Cigna
| Professional | $2,070.53 | $3,013.88 | $4,092.12 | |
United
| Professional | $1,989.43 | $2,684.17 | $5,278.04 |