| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,806.61 | $1,910.41 | $1,910.41 | |
Cigna
| Professional | $1,705.44 | $2,585.33 | $3,520.03 | |
United
| Professional | $1,673.29 | $2,304.37 | $4,531.22 |