| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,201.78 | $8,956.00 | $11,627.00 | |
Aetna
| Professional | $1,201.78 | $1,201.78 | $1,466.49 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $467.00 | $979.00 | $3,398.00 |