| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134,941.62 | $134,941.62 | $138,989.85 | |
Aetna
| Professional | $1,243.54 | $1,243.54 | $1,243.54 | |
Cigna
| Professional | $1,243.54 | $1,243.54 | $1,243.54 | |
United
| Professional | $1,171.33 | $1,244.54 | $1,828.74 |