| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,449.00 | $6,614.00 | $14,982.00 | |
Aetna
| Professional | $778.00 | $9,976.00 | $16,097.00 | |
Cigna
| Facility | $6,648.00 | $8,863.00 | $12,373.00 | |
United
| Facility | $7,368.00 | $15,379.00 | $31,158.00 |