| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,271.95 | $27,701.51 | $27,701.51 | |
Aetna
| Professional | $4,819.31 | $4,819.31 | $5,970.19 | |
Cigna
| Professional | $3,661.05 | $4,055.17 | $10,736.29 | |
United
| Professional | $3,021.06 | $4,315.80 | $15,824.60 |