| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,174.00 | $7,665.00 | $38,166.00 | |
Aetna
| Professional | $5,695.00 | $11,298.00 | $18,693.00 | |
Cigna
| Facility | $17,039.00 | $42,703.00 | $49,730.00 | |
United
| Facility | $1,423.00 | $9,152.00 | $51,468.00 |