| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,456.54 | $6,456.54 | $8,511.38 | |
Aetna
| Professional | $15,488.17 | $15,488.17 | $15,488.17 | |
Cigna
| Professional | $10,000.00 | $10,000.00 | $10,000.00 | |
United
| Facility | $1,819.70 | $2,041.74 | $2,041.74 |