| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,955.74 | $3,195.39 | $3,195.39 | |
Cigna
| Professional | $2,716.91 | $4,213.02 | $5,887.67 | |
United
| Professional | $2,718.71 | $3,527.86 | $7,449.33 |