| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,698.24 | $7,762.47 | $10,471.29 | |
Aetna
| Professional | $933.25 | $933.25 | $933.25 | |
Cigna
| Facility | $13,803.84 | $20,417.38 | $37,153.52 | |
United
| Facility | $9,120.11 | $47,863.01 | $89,125.09 |