| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,559.20 | $3,809.00 | $40,727.00 | |
Aetna
| Professional | $627.98 | $1,559.20 | $1,559.20 | |
Cigna
| Facility | $14,746.82 | $18,042.95 | $30,211.89 | |
United
| Facility | $1,078.00 | $1,556.00 | $50,581.00 |