| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,987.58 | $2,098.53 | $2,098.53 | |
Cigna
| Professional | $1,955.38 | $2,854.99 | $3,866.66 | |
United
| Professional | $1,869.80 | $2,419.75 | $4,989.47 |