| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,653.30 | $10,653.30 | $14,711.70 | |
Aetna
| Professional | $5,073.00 | $10,653.30 | $10,653.30 | |
Cigna
| Facility | $5,495.75 | $6,375.07 | $15,168.27 | |
United
| Professional | $1,543.50 | $2,205.00 | $4,998.00 |