| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,478.90 | $1,564.40 | $1,564.40 | |
Cigna
| Professional | $1,350.29 | $2,111.98 | $2,882.49 | |
United
| Professional | $1,371.20 | $2,021.81 | $3,770.80 |