| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,317.64 | $2,447.69 | $2,447.69 | |
Cigna
| Professional | $1,960.50 | $2,688.94 | $4,510.00 | |
United
| Professional | $1,837.20 | $2,559.23 | $5,826.99 |