| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,868.81 | $2,027.15 | $2,027.15 | |
Cigna
| Professional | $1,652.95 | $2,305.28 | $3,735.14 | |
United
| Professional | $1,622.24 | $2,119.67 | $4,804.91 |