| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,464.59 | $1,716.06 | $1,815.03 | |
Cigna
| Professional | $1,532.15 | $2,276.23 | $3,344.29 | |
United
| Professional | $1,475.76 | $2,183.46 | $4,293.49 |