| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,402.15 | $1,486.02 | $1,486.02 | |
Cigna
| Professional | $1,363.91 | $1,997.24 | $2,738.08 | |
United
| Professional | $1,293.21 | $1,782.64 | $3,505.31 |