| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,425.49 | $1,508.51 | $1,508.51 | |
Cigna
| Professional | $1,390.44 | $2,042.23 | $2,779.51 | |
United
| Professional | $1,337.71 | $2,026.35 | $3,634.86 |