| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,292.50 | $1,371.26 | $1,371.26 | |
Cigna
| Professional | $1,330.87 | $1,917.51 | $2,526.62 | |
United
| Professional | $1,310.13 | $1,852.19 | $3,213.18 |