| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,368.27 | $2,502.26 | $2,502.26 | |
Cigna
| Professional | $2,335.19 | $3,402.33 | $4,610.56 | |
United
| Professional | $2,261.62 | $3,030.12 | $5,958.31 |