| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,706.05 | $1,804.39 | $1,804.39 | |
Cigna
| Professional | $1,650.50 | $2,436.67 | $3,324.68 | |
United
| Professional | $1,579.72 | $2,172.12 | $4,271.17 |