| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $4,201.43 | $4,429.99 | $4,429.99 | |
Cigna
| Professional | $3,930.40 | $6,067.58 | $8,162.49 | |
United
| Professional | $3,567.53 | $5,555.99 | $10,925.10 |