| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,459.01 | $1,542.60 | $1,542.60 | |
Cigna
| Professional | $1,421.62 | $2,089.31 | $2,842.33 | |
United
| Professional | $1,354.28 | $1,858.19 | $3,653.87 |