| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,747.00 | $9,125.00 | $19,050.00 | |
Aetna
| Professional | $16,737.61 | $16,737.61 | $16,737.61 | |
Cigna
| Facility | $400.00 | $7,461.00 | $12,373.00 | |
United
| Facility | $13,636.00 | $28,280.00 | $55,033.00 |