| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,359.70 | $12,312.55 | $17,830.55 | |
Aetna
| Professional | $673.30 | $673.30 | $673.30 | |
Cigna
| Professional | $362.25 | $362.25 | $362.25 | |
United
| Facility | $8,509.00 | $8,509.00 | $27,952.00 |