| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $3,652.55 | $3,853.53 | $3,853.53 | |
Cigna
| Professional | $3,470.64 | $5,268.85 | $7,100.34 | |
United
| Professional | $3,301.15 | $4,712.39 | $9,266.29 |