| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,583.84 | $2,583.84 | $2,745.55 | |
Cigna
| Professional | $2,519.17 | $3,773.65 | $4,760.87 | |
United
| Professional | $2,568.34 | $3,243.40 | $6,219.88 |