| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $627.98 | $10,835.74 | $21,671.48 | |
Aetna
| Professional | $627.98 | $627.98 | $627.98 | |
Cigna
| Facility | $2,900.00 | $2,900.00 | $3,975.00 | |
United
| Facility | $225.00 | $546.00 | $15,000.00 |