| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,505.90 | $1,757.20 | $1,757.20 | |
Cigna
| Professional | $1,482.03 | $2,068.67 | $2,926.41 | |
United
| Professional | $1,547.66 | $1,881.96 | $3,691.20 |