| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,814.88 | $1,919.40 | $1,919.40 | |
Cigna
| Professional | $1,780.87 | $2,595.67 | $3,536.59 | |
United
| Professional | $1,702.74 | $2,221.63 | $4,549.59 |