| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22,390.08 | $23,789.46 | $23,789.46 | |
Cigna
| Facility | $25,439.84 | $25,439.84 | $25,439.84 | |
Cigna
| Professional | $23,789.46 | $23,789.46 | $23,789.46 | |
United
| Professional | $23,323.00 | $24,722.38 | $34,984.50 |