| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,710.00 | $10,710.01 | $14,790.00 | |
Aetna
| Professional | $5,100.01 | $8,245.01 | $10,710.01 | |
Cigna
| Facility | $5,525.00 | $6,409.00 | $11,105.25 | |
United
| Facility | $7,650.00 | $7,650.00 | $7,650.00 | |
United
| Professional | $3,570.00 | $5,100.00 | $8,500.00 |