| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,355.29 | $1,437.60 | $1,437.60 | |
Cigna
| Professional | $1,160.07 | $1,542.84 | $2,648.85 | |
United
| Professional | $1,230.66 | $1,504.43 | $3,385.31 |