| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,412.54 | $1,412.54 | $2,290.87 | |
Aetna
| Professional | $22,908.68 | $22,908.68 | $22,908.68 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
United
| Facility | $4,466.84 | $4,466.84 | $32,359.37 |