| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,240.22 | $1,313.13 | $1,313.13 | |
Cigna
| Professional | $1,181.57 | $1,771.68 | $2,419.51 | |
United
| Professional | $1,143.51 | $1,577.82 | $3,102.56 |