| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $1,400.00 | $1,700.00 | |
Aetna
| Professional | $18,987.27 | $18,987.27 | $18,987.27 | |
Cigna
| Professional | $6,756.91 | $6,756.91 | $6,756.91 | |
United
| Facility | $23,131.65 | $23,131.65 | $23,131.65 |