| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,571.64 | $2,779.99 | $2,779.99 | |
Cigna
| Professional | $2,342.21 | $3,687.17 | $5,122.28 | |
United
| Professional | $2,233.83 | $3,314.42 | $6,529.90 |