| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,619.76 | $1,875.01 | $1,875.01 | |
Cigna
| Professional | $1,587.60 | $2,214.67 | $3,122.62 | |
United
| Professional | $1,695.28 | $2,359.25 | $4,040.37 |