| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,261.75 | $6,261.75 | $6,261.75 | |
Aetna
| Professional | $3,648.15 | $3,648.15 | $4,565.00 | |
Cigna
| Professional | $2,799.33 | $3,100.69 | $8,209.25 | |
United
| Professional | $2,310.00 | $3,300.00 | $12,100.00 |