| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,486.25 | $4,294.00 | $11,332.00 | |
Aetna
| Professional | $627.98 | $1,559.20 | $1,559.20 | |
Cigna
| Facility | $15,750.00 | $42,703.00 | $49,730.00 | |
United
| Facility | $1,685.00 | $10,536.00 | $52,056.00 |