| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65,558.70 | $69,492.58 | $69,492.58 | |
Aetna
| Professional | $69,492.58 | $69,492.58 | $69,492.58 | |
Cigna
| Professional | $71,167.10 | $71,167.10 | $71,167.10 | |
United
| Professional | $69,772.00 | $69,772.00 | $69,772.00 |