| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $24,779.44 | $24,779.44 | |
Aetna
| Professional | $4,573.00 | $4,573.00 | $4,573.00 | |
Cigna
| Facility | $2,151.00 | $2,151.00 | $2,151.00 | |
United
| Facility | $250.00 | $440.00 | $440.00 |