| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,412.54 | $1,412.54 | $3,467.37 | |
Aetna
| Professional | $19,054.61 | $19,054.61 | $19,054.61 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
United
| Facility | $8,511.38 | $8,511.38 | $51,286.14 |