| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,168.36 | $2,370.89 | $2,370.89 | |
Cigna
| Professional | $2,211.11 | $3,111.15 | $4,368.47 | |
United
| Professional | $2,289.19 | $2,962.49 | $5,540.91 |