| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,949.84 | $4,466.84 | $8,511.38 | |
Aetna
| Professional | $3,235.94 | $8,511.38 | $15,488.17 | |
Cigna
| Professional | $10,000.00 | $10,000.00 | $10,000.00 | |
Medica
| Facility | $1,412.54 | $5,248.07 | $19,054.61 | |
United
| Facility | $3,162.28 | $4,786.30 | $16,595.87 |