| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,401.39 | $1,537.72 | $1,628.10 | |
Cigna
| Professional | $1,522.90 | $2,191.21 | $2,999.87 | |
United
| Professional | $1,476.96 | $1,954.65 | $3,843.54 |