| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $688.00 | $1,614.00 | $7,727.00 | |
Aetna
| Professional | $688.00 | $688.00 | $688.00 | |
Cigna
| Facility | $13,832.00 | $20,514.00 | $37,262.00 | |
United
| Facility | $645.00 | $1,319.00 | $82,705.00 |