| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,191.51 | $2,316.62 | $2,316.62 | |
Cigna
| Professional | $2,187.73 | $3,142.31 | $4,268.49 | |
United
| Professional | $2,139.46 | $2,798.95 | $5,503.75 |