| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $688.00 | $6,438.00 | $22,900.00 | |
Aetna
| Professional | $688.00 | $688.00 | $688.00 | |
Cigna
| Facility | $17,039.00 | $42,703.00 | $49,730.00 | |
United
| Facility | $2,971.00 | $10,536.00 | $52,056.00 |