| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,260.07 | $2,492.21 | $2,492.21 | |
Cigna
| Professional | $1,983.08 | $3,166.10 | $4,592.04 | |
United
| Professional | $1,888.09 | $2,607.87 | $5,646.51 |