| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,028.32 | $1,140.82 | $1,208.38 | |
Cigna
| Professional | $1,087.97 | $1,627.93 | $2,226.51 | |
United
| Professional | $1,040.18 | $1,378.84 | $2,580.29 |