| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26,234.25 | $26,234.25 | $33,729.75 | |
Aetna
| Professional | $82.08 | $82.08 | $99.11 | |
Cigna
| Facility | $76.53 | $76.53 | $76.53 | |
Cigna
| Professional | $82.07 | $82.07 | $82.07 | |
United
| Professional | $78.78 | $87.00 | $123.12 |