| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,873.00 | $2,040.83 | $2,157.10 | |
Cigna
| Professional | $2,017.93 | $2,935.34 | $3,974.56 | |
United
| Professional | $1,968.80 | $2,610.55 | $5,133.30 |