| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $912.27 | $1,525.00 | $2,828.00 | |
Aetna
| Professional | $912.27 | $912.27 | $912.27 | |
Cigna
| Facility | $1,000.00 | $2,900.00 | $25,816.93 | |
United
| Facility | $1,360.00 | $8,766.00 | $16,556.00 |