| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,954.97 | $2,064.38 | $2,064.38 | |
Cigna
| Professional | $1,765.95 | $2,696.59 | $3,803.73 | |
United
| Professional | $1,698.99 | $2,302.07 | $4,913.82 |