| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,324.48 | $2,456.03 | $2,456.03 | |
Cigna
| Professional | $2,269.33 | $3,348.04 | $4,525.35 | |
United
| Professional | $2,225.96 | $2,976.02 | $5,851.93 |