| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,790.31 | $1,893.60 | $1,893.60 | |
Cigna
| Professional | $1,678.56 | $2,144.94 | $3,489.05 | |
United
| Professional | $1,651.97 | $2,152.11 | $4,493.07 |