| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34,819.19 | $34,819.19 | $34,819.19 | |
Aetna
| Professional | $19,475.41 | $34,819.19 | $34,819.19 | |
Cigna
| Facility | $38,762.62 | $38,762.62 | $38,762.62 | |
Cigna
| Professional | $31,019.05 | $31,019.05 | $44,937.75 | |
United
| Professional | $13,249.48 | $19,874.21 | $33,123.69 |