| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16,986.47 | $17,246.84 | $19,545.08 | |
Cigna
| Facility | $30,391.12 | $30,391.12 | $30,391.12 | |
Cigna
| Professional | $22,185.52 | $22,185.52 | $30,391.12 | |
United
| Professional | $18,877.22 | $22,400.99 | $31,493.52 |