| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,449.00 | $6,086.00 | $12,173.00 | |
Aetna
| Professional | $769.00 | $10,086.00 | $11,655.00 | |
Cigna
| Facility | $6,648.00 | $8,863.00 | $12,373.00 | |
United
| Facility | $13,636.00 | $28,280.00 | $55,033.00 |