| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,037.29 | $1,037.29 | $1,037.29 | |
Cigna
| Professional | $1,161.55 | $1,513.94 | $1,750.00 | |
United
| Professional | $918.98 | $1,276.85 | $2,510.77 |