| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,722.35 | $1,821.14 | $1,821.14 | |
Cigna
| Professional | $1,692.92 | $2,466.28 | $3,355.55 | |
United
| Professional | $1,626.32 | $2,104.65 | $4,316.27 |